Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 30.025001 | OH |
Y | 213EG0000X | General Practice | 30.025001 | OH |
N | 1223G0001X | General Practice | 9437 | TN |
N | 213EG0000X | General Practice | 9437 | TN |
NPI | 1003195017 |
---|---|
Provider Name | Dr. Joi S. Copeland |
First Address | Cleveland, OH 44109-1900 |
Second Address | Cleveland, OH 44109-1900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2011 |
Last Update Date | 26/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0218522 | (05) | OH |
Q008499 | (05) | TN |