Individual
SHUNTAE CODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 GREENHAVEN DR SE, ATLANTA, GA 30317-3220
(404) 453-9910
Mailing address
333 GREENHAVEN DR SE, ATLANTA, GA 30317-3220
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
CN0028909099
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
09/29/2021
Last updated
09/29/2021
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