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Individual

DR. MICHAEL RAYMOND FLOYD COODY

Active
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Individual

DR. MICHAEL RAYMOND FLOYD COODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

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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