Provider Demographics
NPI:1285411363
Name:COUPER, PEYTON TURNER (PA-C)
Entity type:Individual
Prefix:
First Name:PEYTON
Middle Name:TURNER
Last Name:COUPER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3235 ROSWELL RD NE UNIT 614
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-1883
Mailing Address - Country:US
Mailing Address - Phone:912-414-4575
Mailing Address - Fax:
Practice Address - Street 1:3235 ROSWELL RD NE UNIT 614
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-1883
Practice Address - Country:US
Practice Address - Phone:912-414-4575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant