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Individual

CODY RAY ELAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CNP

Contact information

Practice address
272 HOSPITAL RD, CHILLICOTHE, OH 45601-9031
(740) 779-7500
Mailing address
34700 US HIGHWAY 50, LONDONDERRY, OH 45647-9770
(740) 701-3954

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
19218
OH
363LF0000X
Family Nurse Practitioner
COA.19218-NP
OH

Other

Enumeration date
07/08/2016
Last updated
01/20/2025
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