Copeland, Wanda S

Copeland, Wanda S is an individual health care provider with primary practice located at 21 D Gamecock Ave , Charleston SC 29407-3368. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Copeland, Wanda S can be contacted via phone (843) 763-7906.

Contact Information

Primary practice address
21 D Gamecock Ave Charleston SC 29407-3368
Phone: (843) 763-7906
Fax: (843) 763-1654
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 669 South Carolina

Profile Details

NPI number 1497704035
LBN Legal business name Copeland, Wanda S
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Apr 13th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497704035 NPPES
South Carolina MEDICAID 0207PA
South Carolina Other P00803328

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