Copelan, Macy Malcom

Copelan, Macy Malcom is an individual health care provider with primary practice located at 179 Garrett Way Nw , Milledgeville GA 31061-2318. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Copelan, Macy Malcom can be contacted via phone (478) 453-3004.

Contact Information

Primary practice address
179 Garrett Way Nw Milledgeville GA 31061-2318
Phone: (478) 453-3004
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X DN016074 Georgia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X FC9804229 Georgia
Dental Providers / General Practice 1223G0001X DN016074 Georgia

Profile Details

NPI number 1316571318
LBN Legal business name Copelan, Macy Malcom
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2020
Last updated Aug 19th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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