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Individual

DR. CARLA COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT, GCS

Contact information

Practice address
1210 EASTERN AVE, NASHVILLE, NC 27856-1817
(252) 462-0070
Mailing address
508 ZIRCON LN, KNIGHTDALE, NC 27545-7233
(252) 813-8582

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
11020
NC
314000000X
Skilled Nursing Facility
Primary
39275
NC

Other

Enumeration date
06/15/2016
Last updated
06/15/2016
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