Individual
CODY ROBERT WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1499 FAIR RD, STATESBORO, GA 30458-1683
(912) 486-1510
Mailing address
5629 HWY 21 S, RINCON, GA 31326-9416
(912) 295-2133
(912) 295-5924
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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