Individual
MRS. REGINA G CODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1067 PEACHTREE ST, LOUISVILLE, GA 30434-1599
(478) 625-7000
(478) 625-8907
Mailing address
19 LESTER RD, STATESBORO, GA 30458-2119
(912) 662-6501
(912) 681-1012
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0364455
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2009008422
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
976152836D
—
GA
Enumeration date
11/01/2006
Last updated
04/21/2025
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