Individual
MR. CARLOS T. COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
533 BROOKDALE DR, STATESVILLE, NC 28677-4107
(704) 872-2028
Mailing address
533 BROOKDALE DR, STATESVILLE, NC 28677-4107
(704) 872-2028
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
34
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890801T
—
NC
Enumeration date
10/02/2006
Last updated
03/29/2026
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