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NPI Code Detail

MEDICARE: BENJAMIN JUDSON COPELAND M.D.

MEDICARE:   BENJAMIN JUDSON COPELAND  M.D.
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
1208000000XPediatrics Physician00111NC
2208000000XPediatrics Physician200400111NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811999139
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN JUDSON COPELAND M.D.
Provider Business Mailing Address
First Line : PO BOX 751069
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-1069
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 600 MOYE BLVD
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-4300
Country : US
Telephone Number : 252-744-2335
Fax Number : 252-744-3811
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 12/31/2024

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Directions to “ BENJAMIN JUDSON COPELAND M.D.” Practice Location

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