Provider Demographics
NPI:1700076031
Name:MCCREARY, CODY S (HIS)
Entity type:Individual
Prefix:MR
First Name:CODY
Middle Name:S
Last Name:MCCREARY
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3268 US HIGHWAY 441 S
Mailing Address - Street 2:
Mailing Address - City:OKEECHOBEE
Mailing Address - State:FL
Mailing Address - Zip Code:34974-6239
Mailing Address - Country:US
Mailing Address - Phone:863-763-9700
Mailing Address - Fax:863-763-9705
Practice Address - Street 1:1015 SPRING ST
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29646-3831
Practice Address - Country:US
Practice Address - Phone:864-227-6741
Practice Address - Fax:864-227-6021
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist