Individual
NATHANIEL COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1921 WILLOW HAVEN LN APT 1B, CHARLOTTE, NC 28262-7717
(614) 664-3127
Mailing address
1921 WILLOW HAVEN LN APT 1B, CHARLOTTE, NC 28262-7717
(614) 664-3127
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
SJ042607
OH
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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