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Jerry Copeland
NPI 1801355680 · on the registry since 2019 · sole proprietor
Practice
- Address
- 437 W Parker St
Baxley, GA 31513 - Phone
- (912) 705-0858
- Fax
- (912) 705-6423
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 101YP1600X
101YP1600X
- Also registered as
- 101Y00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-03-19
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