Individual
RENEE MICHELLE COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0006
(706) 821-8623
Mailing address
1120 15TH STREET, AUGUSTA, GA 30912
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
15125
GA
Other
Enumeration date
05/16/2022
Last updated
07/08/2024
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