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1427787258
CODY NATHAN PORTER
MT PLEASANT, SC
NPI
1427787258
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 10696)
Enumeration Date
2022-06-07
Last Update Date
2022-06-07
Business Address
CODY NATHAN PORTER DPT, PT
1341 OLD GEORGETOWN RD STE C
MT PLEASANT, SC 29464-7307
Phone number: 843-936-3385
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Mailing Address
CODY NATHAN PORTER DPT, PT
35 FOLLY ROAD BLVD UNIT 204
CHARLESTON, SC 29407-7596
Phone number: 864-436-6776
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