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Individual

CODY ALAN DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1018 20TH ST, HUNTINGTON, WV 25703-2059
(304) 521-7249
Mailing address
802 OAK ST, KENOVA, WV 25530-1519
(304) 908-1056

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
07/26/2022
Last updated
07/26/2022
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