Individual
CODY JEROME CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3600 FOREST DR, STE 400, COLUMBIA, SC 29204-4057
(803) 779-7316
(803) 343-2538
Mailing address
3600 FOREST DR, STE 400, COLUMBIA, SC 29204-4057
(803) 779-7316
(803) 343-2538
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
82206
SC
Other
Enumeration date
06/14/2015
Last updated
07/30/2021
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