Dr Carroll Donell Cooper, MD in Riverdale, GA - Pain Medicine

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.

Contact Information

	Dr Carroll Donell Cooper, MD
	251 Medical Way, Suite B, Riverdale, GA 30274-2522
	(678) 974-0158
	Not Available

Physician's Profile

Full Name	Dr Carroll Donell Cooper
Gender	Male
Speciality	Pain Medicine - Interventional Pain Medicine
Location	251 Medical Way, Riverdale, Georgia
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

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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Dr Carroll Donell Cooper, MD - Pain Medicine in Riverdale, GA