Individual
CAROLE F COPENHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6350 W ANDREW JOHNSON HWY, TALBOTT, TN 37877-8605
(865) 471-0312
(865) 475-2802
Mailing address
120 HOSPITAL DR, SIUTE 240, JEFFERSON CITY, TN 37760-5279
(865) 471-0312
(865) 475-2802
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12097
TN
Other
Enumeration date
07/27/2006
Last updated
10/01/2020
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