Cody Michael McEnaney

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1821621970

Cody Michael McEnaney is a Student in an Organized Health Care Education/Training Program in Statham, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in: GA
In the registry since: 2020

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Practice location Address checks out

1732 Rambling Rill Cir
Statham, GA 30666-3607
Phone: (706) 255-6235

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary)	Taxonomy 390200000X (GA)

Record details

NPI number	1821621970
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	February 18, 2020
Last updated in NPPES	February 18, 2020
Certification date	February 18, 2020
Mailing address	1732 Rambling Rill Cir, Statham, GA 30666-3607