Individual
DR. CODY DAVID CARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-6715
Mailing address
2340 HALE PL, MONROE, GA 30656-4275
(770) 843-7574
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
15949
GA
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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