Healthcare Provider Details

I. General information

NPI: 1982811626
Provider Name (Legal Business Name): PAUL R COPLIN MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 01/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1047 N HOUSTON RD
WARNER ROBINS GA
31093-1505
US

IV. Provider business mailing address

PO BOX 7737
WARNER ROBINS GA
31095-7737
US

V. Phone/Fax

Practice location:
  • Phone: 478-923-3762
  • Fax: 478-923-2929
Mailing address:
  • Phone: 478-923-3762
  • Fax: 478-923-2929

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State

VIII. Authorized Official

Name: DR. PAUL R COPLIN
Title or Position: OWNER PRESIDENT
Credential: MD
Phone: 478-923-3762