Clyde Copeland
NPI 1184987935 · on the registry since 2012 · sole proprietor
Practice
- Address
- 5465 Scenic Hts
Manchester, GA 31816 - Phone
- (706) 846-5410
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-06-18
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