| Dr Trella Cooper, MD | |
|
517 N Brightleaf Blvd, Smithfield, NC 27577-4407 | |
| (919) 989-5200 | |
| (919) 989-5208 |
| Full Name | Dr Trella Cooper |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 517 N Brightleaf Blvd, Smithfield, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528121191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 9300441 (North Carolina) | Primary |
| Entity Name | Johnston County Public Health Department |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528157211 PECOS PAC ID: 8224011861 Enrollment ID: O20040612000426 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Trella Cooper, MD 517 N Brightleaf Blvd, Smithfield, NC 27577-4407 Ph: (919) 989-5200 | Dr Trella Cooper, MD 517 N Brightleaf Blvd, Smithfield, NC 27577-4407 Ph: (919) 989-5200 |
Kimberly D Fox, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1519 E Booker Dairy Rd, Smithfield, NC 27577 Phone: 919-938-2144 Fax: 919-938-2944 | |
Dr. Lisa M.l. Parker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Kellie Dr, Smithfield, NC 27577 Phone: 919-938-3749 Fax: 919-938-3749 | |
Dr. Debra J Tetreault, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 101 Kellie Dr, Smithfield, NC 27577 Phone: 919-938-3749 Fax: 919-938-3795 | |
Dr. Sally Lawson Carpenter, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11 Berkshire Rd, Smithfield, NC 27577 Phone: 919-934-0564 Fax: 919-934-9703 |