Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CODY CLARKE ANDERSON, DPM
Active Sole ProprietorCODY CLARKE ANDERSON, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in LAKE CITY, South Carolina. NPI 1871023960 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · LAKE CITY, SC
Registration Details
- NPI Number
- 1871023960
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2017 (9.1305410445005 yrs)
- Last Updated
- Nov 12, 2022
- Licenses
-
061.0000023 (VT)713 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
241 KELLEY STLAKE CITY, SC, 295602446Browse SC providers · Browse ZIP 29560
- Phone
- 8435192399
- Fax
- 8435190234
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.