CODY WAYNE CISSOM

TUPELO, MS
NPI1104511153
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MS  pending)
Enumeration Date2023-04-06
Last Update Date2023-04-06
Business Address
CODY WAYNE CISSOM D.O.
830 S GLOSTER ST
TUPELO, MS 38801-4996
Phone number: 662-377-3000
Mailing Address
CODY WAYNE CISSOM D.O.
830 S GLOSTER ST
TUPELO, MS 38801-4996
Phone number: 662-377-3000
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