Individual
TAMARA LEE COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
340 N CEDAR AVE, COOKEVILLE, TN 38501-2421
(931) 783-5353
(931) 783-4994
Mailing address
140 W 7TH ST, COOKEVILLE, TN 38501-1726
(931) 783-5582
(931) 526-6760
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1678
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1527896
—
TN
Enumeration date
01/04/2009
Last updated
03/07/2023
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