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Cody Alexander Canavan, MD
Student in an Organized Health Care Education/Training Program in Charlotte, North Carolina
NPI 1538809504

Cody Alexander Canavan is a Student in an Organized Health Care Education/Training Program based in Windermere, NC. Cody Alexander Canavan practices in Charlotte, NC and has the professional credentials of MD. The NPI Number for Cody Alexander Canavan is 1538809504 and holds a License No. (North Carolina).

The current practice location address for Cody Alexander Canavan is 1350 S Kings Dr Fl 3, Charlotte, NC and can be reached out via phone at 704-446-1242 and via fax at 704-446-1241.

Location: 1350 S Kings Dr Fl 3, Charlotte, NC, 34786-6710
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538809504
Provider Name
Cody Alexander Canavan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1350 S Kings Dr Fl 3, Charlotte, NC, 34786-6710
Phone Number
704-446-1242
Fax Number
704-446-1241
Provider Enumeration Date
03/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1350 S Kings Dr Fl 3
City
Charlotte
State
North Carolina
Zip
28207-2134
Phone Number
704-446-1242
Fax Number
704-446-1241
person
Provider Business Mailing Address Details
Address
1350 S Kings Dr Fl 3
City
Charlotte
State
North Carolina
Zip
28207-2134
Phone Number
704-446-1242
Fax Number
704-446-1241
person
Provider's Taxonomy Details 1
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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