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Individual

CODY A SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
309 S SHARON AMITY RD STE 104, CHARLOTTE, NC 28211-2886
(704) 372-7660
(704) 372-7659
Mailing address
660 W LINCOLN HWY, EXTON, PA 19341-2514

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CO005798
224P00000X
Prosthetist
Primary
CPO04189

Other

Enumeration date
09/26/2017
Last updated
10/23/2018
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