Individual
SUSAN KATHLEEN COPLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 PINE ST NW, HARTSELLE, AL 35640-2309
(904) 805-1300
(904) 805-1302
Mailing address
4461 COUNTY ROAD 411, GROVEOAK, AL 35975-4843
(256) 623-6127
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
18715
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009943023
—
AL
05
—
051552917
—
AL
01
—
51555571
BLUE CROSS
AL
Enumeration date
05/19/2006
Last updated
04/10/2008
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