Cody Leatherwood

NPI #1235606138 in Swansboro, North Carolina

Provider Information

NPI Number: 1235606138
Entity Type: Individual
Name: Cody Leatherwood
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Oct 29, 2018
Last Updated: Oct 29, 2018

Practice Location

Address: 302 CATAMARAN RD
City: Swansboro
State: North Carolina
ZIP Code: 28584-2505
Phone: (770) 853-6522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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