Individual
STEPHEN JEFFREY COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
29544
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
29544
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194378000
—
WV
01
—
24224
BCBS
—
01
—
4280
PARTNERS
—
01
—
5333100
AETNA
—
05
—
5760011
—
VA
01
—
63951
MEDCOST
—
01
—
780002156
RR MEDICARE
—
05
—
8924224
—
NC
05
—
Q29544
—
SC
Enumeration date
12/13/2005
Last updated
08/29/2017
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