CODY LONGFELLOW

DECATUR, GA
NPI1952867012
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2019-02-13
Last Update Date2019-02-13
Business Address
CODY LONGFELLOW
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
Mailing Address
CODY LONGFELLOW
183 WHITEFOORD AVE NE
ATLANTA, GA 30307-2803
Phone number: 330-256-8081
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