Clyde Copeland

NPI #1184987935 in Manchester, Georgia

Provider Information

NPI Number: 1184987935
Entity Type: Individual
Name: Clyde Copeland
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Jun 18, 2012
Last Updated: Jun 18, 2012

Practice Location

Address: 5465 SCENIC HTS
City: Manchester
State: Georgia
ZIP Code: 31816
Phone: (706) 846-5410

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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