Individual
MRS. RENEE S COPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0495
WV
363AM0700X
Medical Physician Assistant
Primary
3456
SC
Other
Enumeration date
10/26/2006
Last updated
03/12/2020
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