Individual
CODY EDWARD DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8423 GREENWAY RD, TOWSON, MD 21286-8706
(410) 949-6446
Mailing address
8423 GREENWAY RD, TOWSON, MD 21286-8706
(410) 949-6446
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
D-120-122-189-128
MD
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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