Individual
KEVIN COUNCIL COPPEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
701 GROVE RD FL 5, GREENVILLE, SC 29605-4210
(864) 455-4411
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 455-4411
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102204536
VA
208M00000X
Hospitalist Physician
Primary
83403
SC
Other
Enumeration date
05/19/2014
Last updated
07/21/2022
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