Healthcare Provider Details

I. General information

NPI: 1467146845
Provider Name (Legal Business Name): JULIE COPELAND RRT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIE COPELAND LORD

II. Dates (important events)

Enumeration Date: 06/07/2023
Last Update Date: 08/22/2023
Certification Date: 08/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5353 REYNOLDS ST
SAVANNAH GA
31405-6015
US

IV. Provider business mailing address

205 PEBBLESTONE DR
BLOOMINGDALE GA
31302-8117
US

V. Phone/Fax

Practice location:
  • Phone: 912-819-7982
  • Fax: 912-819-7982
Mailing address:
  • Phone: 251-214-2069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number12581
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number1679
License Number StateHI
# 3
Primary TaxonomyN
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number566
License Number StateAL
# 4
Primary TaxonomyN
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number21907
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberRCP-4737
License Number StateAR
# 6
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number11817
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: