Individual
DEBRA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
378 HARDEN ST, BURLINGTON, NC 27215-7516
(336) 698-3500
(336) 698-3814
Mailing address
378 HARDEN ST, BURLINGTON, NC 27215-7516
(336) 698-3500
(336) 698-3814
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34006196C
OH
207Q00000X
Family Medicine Physician
Primary
2017-00569
NC
207Q00000X
Family Medicine Physician
20A10878
CA
207Q00000X
Family Medicine Physician
4361
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0161257
—
OH
05
—
069131
—
AZ
05
—
1144261249
—
NC
Enumeration date
06/09/2006
Last updated
02/20/2026
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