Individual
WANDA O COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
558 CHESTNUT ST, SAINT MATTHEWS, SC 29135-8104
(803) 874-2006
(803) 874-1998
Mailing address
558 CHESTNUT ST, SAINT MATTHEWS, SC 29135-8104
(803) 874-2006
(803) 874-1998
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
APN652
SC
Other
Enumeration date
10/10/2006
Last updated
11/29/2007
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