Individual
MARK ISAAC COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.A.
Contact information
Practice address
460 LANIER RD, MADISON, AL 35758-1866
(256) 319-9000
Mailing address
2006 FRANKLIN ST SE, SUITE 301, HUNTSVILLE, AL 35801-4551
(256) 539-9471
(256) 539-9472
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA826
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51529650
BCBS AL
AL
Enumeration date
04/19/2006
Last updated
01/15/2013
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