Organization
COPELAND MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE LEE COPELAND MD (OWNER)
(931) 243-3860
Entity
Organization
Contact information
Practice address
110 DOCTORS DRIVE, CELINA, TN 38551
(931) 243-3860
(931) 243-4607
Mailing address
110 DOCTORS DRIVE, CELINA, TN 38551
(931) 243-3860
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3726598
—
TN
01
—
4088210
BLUE CROSS BLUE SHIELD TN
TN
01
—
DC3330
RAILROAD MEDICARE
TN
Enumeration date
06/20/2007
Last updated
01/30/2008
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