Individual
WILLIAM R KOOPAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2403 OSLER CT STE A, ALBANY, GA 31707-0205
(229) 405-6196
(229) 261-1334
Mailing address
204 N WESTOVER BLVD, ALBANY, GA 31707-2983
(229) 888-6559
(229) 436-4107
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9568
GA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
10/21/2018
Last updated
01/08/2020
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