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NPI Profile for CODY C ANDERSON in LAKE CITY, SC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI # | 1871023960 |
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| Status | Active | |
| Credentials | DPM (Doctor of Podiatric Medicine) | |
| Entity | Individual | |
| Enumeration date | 06/12/2017 | |
| Last updated | 11/12/2022 - About 4 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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CODY C ANDERSON
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CODY C ANDERSON, DPM