CODY LEATHERWOOD

SWANSBORO, NC
NPI1235606138
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  8665)
Enumeration Date2018-10-29
Last Update Date2018-10-29
Business Address
CODY LEATHERWOOD
302 CATAMARAN RD
SWANSBORO, NC 28584-2505
Phone number: 770-853-6522
Mailing Address
CODY LEATHERWOOD
PO BOX 774
BUCHANAN, GA 30113-0774
Phone number: