Cody Wayne Cissom, D.O.
NPI #1104511153 in Tupelo, Mississippi
Provider Information
- NPI Number
- 1104511153
- Entity Type
- Individual
- Name
- Cody Wayne Cissom, D.O.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine
- Credential
- D.O.
- Enumeration Date
- Apr 6, 2023
- Last Updated
- Apr 6, 2023
Practice Location
- Address
- 830 S GLOSTER ST
- City
- Tupelo
- State
- Mississippi
- ZIP Code
- 38801-4996
- Phone
- (662) 377-3000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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