person
Cody Clarke Anderson, DPM
Foot & Ankle Surgery Podiatrist in Lake City, South Carolina
NPI 1871023960

Cody Clarke Anderson is a Foot & Ankle Surgery Podiatrist based in Florence, SC and is specialized in Foot & Ankle Surgery. Cody Clarke Anderson practices in Lake City, SC and has the professional credentials of DPM. The NPI Number for Cody Clarke Anderson is 1871023960 and holds a License No. 061.0000023 (South Carolina).

The current practice location address for Cody Clarke Anderson is 241 Kelley St, Lake City, SC and can be reached out via phone at 843-519-2399 and via fax at 843-519-0234.

Location: 241 Kelley St, Lake City, SC, 29502-3239
person
Provider Profile Details
NPI Number
1871023960
Provider Name
Cody Clarke Anderson
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
241 Kelley St, Lake City, SC, 29502-3239
Phone Number
843-519-2399
Fax Number
843-519-0234
Provider Enumeration Date
06/12/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SCJ236 05 SC
institution
Provider Business Practice Location Address Details
Address
241 Kelley St
City
State
Zip
29560-2446
Phone Number
843-519-2399
Fax Number
843-519-0234
person
Provider Business Mailing Address Details
Address
241 Kelley St
City
State
Zip
29560-2446
Phone Number
843-519-2399
Fax Number
843-519-0234
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
061.0000023 (Vermont)
Definition
Definition to come...
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