| Doctor Name: | SALLY IRENE CODY |
| NPI Number: | 1124442488 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 5006731 |
| Business Practice Address: | 3990 E Us 64 Alt Murphy, NC - 289066843 |
| Business Phone Number: | 8283893608 |
| Business Fax Number: | 8283893826 |
| Mailing Address: | 52 Ruel Hall Rd, HAYESVILLE |
| State: | NC |
| Postal Code: | 289047108 |
| Phone Number: | 8283616599 |
| Fax Number: | |
| NPI Enumeration Date: | 02/06/2014 |
| NPI Last Update Date: | 02/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | 5006731 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |