Provider Demographics
NPI:1194119040
Name:COPE, ANGELA MAE (DO)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:MAE
Last Name:COPE
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:MAE
Other - Last Name:JESTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1601 4TH AVE S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1723
Mailing Address - Country:US
Mailing Address - Phone:205-638-9585
Mailing Address - Fax:
Practice Address - Street 1:1601 4TH AVE S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1723
Practice Address - Country:US
Practice Address - Phone:205-638-9096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-27
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO.1826208000000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine