Individual
CODY CARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
80 SEVEN HILLS BLVD STE 107, DALLAS, GA 30132-0575
(678) 402-0515
Mailing address
3922 ISLAND CREEK RD, VALDOSTA, GA 31601-0187
(229) 328-3801
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016127
GA
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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