Dr Carroll Donell Cooper, MD is a
Pain Medicine - Interventional Pain Medicine physician based in Riverdale, Georgia. Dr Carroll Donell Cooper is licensed to practice in Georgia (license number 63309) and his current practice location is 251 Medical Way, Suite B, Riverdale, Georgia. He can be reached at his office (for appointments etc.) via phone at
(678) 974-0158.
NPI number for Dr Carroll Donell Cooper is 1861570012 and his current mailing address is 3161 Howell Mill Rd Nw, Suite 310, Atlanta, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861570012.
Physician's Profile
| Full Name | Dr Carroll Donell Cooper |
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| Gender | Male |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 251 Medical Way, Riverdale, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1861570012
- Provider Enumeration Date: 11/02/2006
- Last Update Date: 04/27/2017
Medical Identifiers
Medical identifiers for Dr Carroll Donell Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861570012 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 63309 (Georgia) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 63309 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Carroll Donell Cooper is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Carroll Donell Cooper, MD
3161 Howell Mill Rd Nw, Suite 310,
Atlanta, GA 30327-2135
Ph: (678) 974-0158 | Dr Carroll Donell Cooper, MD
251 Medical Way, Suite B,
Riverdale, GA 30274-2522
Ph: (678) 974-0158 |
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