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Cody Lee Kidd, DO
Family Medicine Physician in Cheraw, South Carolina
NPI 1508516873

Cody Lee Kidd is a Family Medicine Physician based in Florence, SC. Cody Lee Kidd practices in Cheraw, SC and has the professional credentials of DO. The NPI Number for Cody Lee Kidd is 1508516873 and holds a License No. (South Carolina).

The current practice location address for Cody Lee Kidd is 710 Chesterfield Hwy, Cheraw, SC and can be reached out via phone at 843-537-2171.

Location: 710 Chesterfield Hwy, Cheraw, SC, 29506-2617
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508516873
Provider Name
Cody Lee Kidd
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
710 Chesterfield Hwy, Cheraw, SC, 29506-2617
Phone Number
843-537-2171
Fax Number
Provider Enumeration Date
03/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
710 Chesterfield Hwy
City
Cheraw
State
South Carolina
Zip
29520-7001
Phone Number
843-537-2171
Fax Number
person
Provider Business Mailing Address Details
Address
710 Chesterfield Hwy
City
Cheraw
State
South Carolina
Zip
29520-7001
Phone Number
843-537-2171
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
87607 (South Carolina)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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