Individual
MR. MATTHEW THOMAS COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1314 19TH AVE, MERIDIAN, MS 39301-4116
(601) 483-0011
Mailing address
1314 19TH AVE, MERIDIAN, MS 39301-4116
(601) 483-0011
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905924
MS
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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