Individual provider · Type 1 NPI
Cody Clarke Anderson, DPM
Foot & Ankle Surgery Podiatrist · Lake City, SC
NPI number
1871023960
Active
Practice location
241 Kelley St
Lake City, SC 29560-2446
Fax (843) 519-0234
Mailing address
PO Box 3239
Florence, SC 29502-3239
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 061.0000023 (VT) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 713 (SC) |
Foot & Ankle Surgery Podiatrist: Definition to come...
3 other providers at this address
About NPI 1871023960
Cody Clarke Anderson, DPM's National Provider Identifier is 1871023960, issued on Jun 12, 2017. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Lake City, SC. The record was last updated on Nov 12, 2022.