Individual
CARRISSA CODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 294-3275
(404) 508-7862
Mailing address
445 WINN WAY, PO BOX 987, DECATUR, GA 30031
(404) 294-3275
(404) 508-7862
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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