Copper, Chad Michael

Copper, Chad Michael is an individual health care provider with primary practice located at 725 Jesse Jewell Pkwy Se , Gainesville GA 30501-3834. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Copper, Chad Michael can be contacted via phone (770) 536-2323.

Contact Information

Primary practice address
725 Jesse Jewell Pkwy Se Gainesville GA 30501-3834
Fax: (770) 536-4947
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 055818 Georgia

Profile Details

NPI number 1205816212
LBN Legal business name Copper, Chad Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated May 22nd, 2024 - about last year

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 1205816212 NPPES
Georgia MEDICAID 603854369B
Georgia Other 52170731
Georgia MEDICAID 603854369A
Georgia Other 10045077
Georgia Other 7385826
Georgia Other P00246474
Georgia Other 8411488
Georgia Other 2548303
Georgia Other 340827

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