Individual
CHRISTOPHER CODY GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
234 E PINEBROOK DR, BRANDON, MS 39047-7817
(601) 613-8270
Mailing address
234 E PINEBROOK DR, BRANDON, MS 39047-7817
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0490
MS
Other
Enumeration date
06/07/2017
Last updated
06/07/2017
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