Individual
DANIEL JAMES COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
88 HIGHLAND XING, ELLIJAY, GA 30540-6052
(706) 635-1194
Mailing address
88 HIGHLAND XING, ELLIJAY, GA 30540-6052
(706) 635-1194
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO002731
GA
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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