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Individual

DR. JOHN TIMOTHY COPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
590 HISTORIC HWY 441 N, DEMOREST, GA 30535
(706) 754-5511
(706) 754-5577
Mailing address
PO BOX 1779, DEMOREST, GA 30535-1779
(706) 754-5511
(706) 754-5577

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
040644
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000745071C
GA
Enumeration date
06/01/2005
Last updated
09/22/2010
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