Individual
SANDRA S KOPACZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
259 BROAD ST, HAWKINSVILLE, GA 31036-4818
(478) 783-9340
(478) 783-3961
Mailing address
259 BROAD ST, HAWKINSVILLE, GA 31036-4818
(478) 300-7107
(478) 783-3961
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
032179
GA
Other
Enumeration date
07/08/2005
Last updated
09/25/2023
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