Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CARROLL DONELL COOPER, M.D.
ActiveDR. CARROLL DONELL COOPER, M.D. is a Interventional Vascular Surgery healthcare provider located in RIVERDALE, Georgia. NPI 1861570012 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · RIVERDALE, GA
Registration Details
- NPI Number
- 1861570012
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 2, 2006 (19.594396211684 yrs)
- Last Updated
- Apr 27, 2017
- Licenses
-
63309 (GA)63309 (GA)
Practice Information
- Address
-
251 MEDICAL WAYSUITE BRIVERDALE, GA, 302742522Browse GA providers · Browse ZIP 30274
- Phone
- 6789740158
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Interventional Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.