Individual
CODY ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2605 KINARD ST, NEWBERRY, SC 29108-2967
(803) 405-1900
(803) 405-1919
Mailing address
2605 KINARD ST, NEWBERRY, SC 29108-2967
(803) 405-1900
(803) 405-1919
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
84922
SC
Other
Enumeration date
04/03/2017
Last updated
03/28/2025
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