Individual
CODY BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
745 POPLAR RD, NEWNAN, GA 30265-1618
(770) 400-1000
Mailing address
82 CLIFFHAVEN CIR, NEWNAN, GA 30263-5776
(770) 870-7519
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
10614
GA
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
05/19/2021
Last updated
12/05/2022
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