Individual
CODY MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
77 NEALY AVE, HAMPTON, VA 23665-2040
(757) 225-7630
Mailing address
4881 SUGAR MAPLE DR, WRIGHT PAT, OH 45433-5529
(937) 257-2778
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35622
NE
Other
Enumeration date
02/25/2020
Last updated
09/19/2024
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