Individual
CODY LEATHERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
302 CATAMARAN RD, SWANSBORO, NC 28584-2505
(770) 853-6522
Mailing address
PO BOX 774, BUCHANAN, GA 30113-0774
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8665
GA
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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