Individual
DR. CODY L MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 EAST HOSPITAL ROAD, FORT GORDON, GA 30905-5650
(606) 231-6733
(707) 787-1745
Mailing address
761ST TANK BATTALION AVENUE, FORT HOOD, TX 76544
(254) 618-8040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
74859-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2019
Last updated
08/12/2022
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