# DR. CODY DRAKE PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841542396
- **Authorized official:** DR. CODY DRAKE DPM (OWNER)
- **Authorized official phone:** (276) 632-5280

## Contact information

- **Practice address:** 107 W DECATUR ST, MADISON, NC 27025-1907
- **Practice address phone:** (276) 632-5280
- **Practice address fax:** (276) 632-5257
- **Mailing address:** 15 CLEVELAND AVE, SUITE 9, MARTINSVILLE, VA 24112-2937
- **Mailing address phone:** (276) 632-5280
- **Mailing address fax:** (276) 632-5257

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 10/09/2012
- **Last updated:** 08/13/2013