Most Relevant Information
Provider Data
| NPI Number: | 1003009911 |
| Provider Name: | CHARLES EVERETT COPPINGER PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 6705 |
Most Important Dates
| Enumeration Date: | 08/23/2007 |
| Last Updated: | 06/06/2022 |
Provider Practice Location
1492 HUDSON BRIDGE RD
STOCKBRIDGE
GA
302815018
Practice Location Phone/Fax
| Phone: | 4042551933 |
| Fax: | 4045539830 |
Provider Mailing Location
1492 HUDSON BRIDGE RD
STOCKBRIDGE
GA
302815018
Provider Mailing Phone/Fax
| Phone: | 4042551933 |
| Fax: | 4045539830 |