Individual
JAVONDA COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7401 BLACKMON RD APT 2203, COLUMBUS, GA 31909-7518
(706) 325-8549
Mailing address
7401 BLACKMON RD APT 2203, COLUMBUS, GA 31909-7518
(706) 325-8549
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN065613
GA
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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