Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0102X | Surgical Critical Care | 4301054641 | MI |
N | 2086S0127X | Trauma Surgeon | 4301054641 | MI |
NPI | 1124234356 |
---|---|
Provider Name | Dr. Craig F. Copeland |
First Address | Fayetteville, NC 28314-2894 |
Second Address | Fayetteville, NC 28314-2894 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2007 |
Last Update Date | 22/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F97535 | (02) | MI |