Individual
CODY ALLEN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
475 VINE ST, WINSTON SALEM, NC 27101-4135
(336) 716-4498
Mailing address
250 S MLK BLVD APT 303, LEXINGTON, KY 40508-2698
(606) 627-4499
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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