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Individual

ERICA ANN COPPAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
531 ASBURY CIR STE N340, ATLANTA, GA 30322-1006
(404) 712-7100
Mailing address
531 ASBURY CIR STE N340, ATLANTA, GA 30322-1006

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9510
GA

Other

Enumeration date
10/25/2019
Last updated
10/25/2019
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