Provider Demographics
NPI:1487546941
Name:MARTIN, CODY AARON
Entity type:Individual
Prefix:
First Name:CODY
Middle Name:AARON
Last Name:MARTIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2031 HONEYCUTT DR UNIT 1110
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-6905
Mailing Address - Country:US
Mailing Address - Phone:336-468-7718
Mailing Address - Fax:
Practice Address - Street 1:2031 HONEYCUTT DR UNIT 1110
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6905
Practice Address - Country:US
Practice Address - Phone:336-468-7718
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant