Individual
CODY ROYCE EASOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
850 S MAIN ST, HOLLY SPRINGS, NC 27540-8906
(919) 922-5741
Mailing address
1744 E GREENBRIAR DR, FUQUAY VARINA, NC 27526-7682
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
333770
NC
Other
Enumeration date
05/16/2026
Last updated
05/16/2026
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