Provider Demographics
NPI:1952097487
Name:COPELAND, AMELIA AMBER
Entity Type:Individual
Prefix:MISS
First Name:AMELIA
Middle Name:AMBER
Last Name:COPELAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 STEPHENSON CT
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31836-3547
Mailing Address - Country:US
Mailing Address - Phone:706-601-3764
Mailing Address - Fax:
Practice Address - Street 1:101 STEPHENSON CT
Practice Address - Street 2:
Practice Address - City:WOODLAND
Practice Address - State:GA
Practice Address - Zip Code:31836-3547
Practice Address - Country:US
Practice Address - Phone:706-601-3764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-17
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management