Individual
MR. JOSEPH BENJAMIN COPPER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
1200 N MARTIN LUTHER KING JR DR, WINSTON SALEM, NC 27101-3006
(336) 713-9800
Mailing address
509 BARRETT RD, WINSTON SALEM, NC 27104-1433
(336) 713-9592
(336) 713-9576
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
100725
NC
Other
Enumeration date
11/11/2005
Last updated
07/08/2007
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