SearchGeorgia156FX1800X

Daniel Copeland, LDO

NPI 1124710041 · on the registry since 2023 · sole proprietor

Practice

Address
88 Highland Xing
Ellijay, GA 30540
Phone
(706) 635-1194
Organisation at this address
Wal-Mart Stores East Lp
Timothy Alan Parker Od Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
156FX1800X
156FX1800X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia