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NPI Code Detail

MEDICARE: MRS. SANDRA D COPELAND NP

MEDICARE:  MRS. SANDRA D COPELAND  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN102110GA

General Provider Information

NPI Number : 1366694051
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SANDRA D COPELAND NP
Provider Business Mailing Address
First Line : 609 MCCRACKIN ST
Second Line :
City : JULIETTE
State : GA
Zip : 31046-4520
Country : US
Telephone Number : 478-994-3683
Fax Number :
Provider Business Practice Location Address
First Line : 101 HOUSTON ST
Second Line :
City : BARNESVILLE
State : GA
Zip : 30204-1660
Country : US
Telephone Number : 770-358-1961
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2008
Last Update Date : 05/14/2025

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Directions to “ MRS. SANDRA D COPELAND NP” Practice Location

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