Individual
EMILY R COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-AA
Contact information
Practice address
4280 N VALDOSTA RD, DEPT OF ANESTHESIA, VALDOSTA, GA 31602-6814
(229) 671-2066
Mailing address
4321 WISTERIA LN, VALDOSTA, GA 31602-7619
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
005901
GA
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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