Provider Demographics
NPI:1467146845
Name:COPELAND, JULIE (RRT)
Entity Type:Individual
Prefix:MISS
First Name:JULIE
Middle Name:
Last Name:COPELAND
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:MS
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:COPELAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LORD
Mailing Address - Street 1:205 PEBBLESTONE DR
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:GA
Mailing Address - Zip Code:31302-8117
Mailing Address - Country:US
Mailing Address - Phone:251-214-2069
Mailing Address - Fax:
Practice Address - Street 1:5353 REYNOLDS ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-6015
Practice Address - Country:US
Practice Address - Phone:912-819-7982
Practice Address - Fax:912-819-7982
Is Sole Proprietor?:No
Enumeration Date:2023-06-07
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12581227900000X
HI1679227900000X
AL566227900000X
FL21907227900000X
ARRCP-4737227900000X
GA11817227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered