Individual
DR. CODY SCOTT DEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
163 MEDICAL PARK DR, SUITE 210, SILER CITY, NC 27344-6790
(919) 742-6032
Mailing address
1600 PERIMETER PARK DR, SUITE 225, MORRISVILLE, NC 27560-8421
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2004-0296
NM
207RC0000X
Cardiovascular Disease Physician
Primary
2008-01121
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5917915
—
NC
Enumeration date
02/06/2007
Last updated
07/11/2013
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