Individual
DR. MICHAEL RAYMOND FLOYD COODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
300 W 27TH ST, LUMBERTON, NC 28358
(910) 671-5000
Mailing address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(910) 671-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
304804
NC
363A00000X
Physician Assistant
2019041114
MO
Other
Enumeration date
12/17/2019
Last updated
04/08/2023
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