Individual
LUCYLE J. COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
955 RIBAUT ROAD, BEAUFORT, SC 29902
(803) 454-2600
(803) 765-1732
Mailing address
PO BOX 1927, COLUMBIA, SC 29202
(803) 765-1838
(803) 765-1732
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
799
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN0658
—
SC
Enumeration date
03/23/2006
Last updated
09/19/2007
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