Individual
PROF. TIESHA C COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
164 COOPER RD, CLIMAX, GA 39834-2405
(229) 205-1482
Mailing address
164 COOPER RD, CLIMAX, GA 39834-2405
(229) 205-1482
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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