Individual
MR. CODY DOUGLAS PARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
1501 MERCER UNIVERSITY DR, MACON, GA 31207-0002
(783) 012-7464
Mailing address
UNA BOX 5062, FLORENCE, AL 35632-0001
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
1697
AL
2255A2300X
Athletic Trainer
Primary
AT004225
GA
Other
Enumeration date
08/03/2017
Last updated
02/09/2023
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