IndividualActive
Cody Blackwelder, MD
NPI 1548824873 · Surgery Physician · Ruston, LA
Provider details
- NPI number
- 1548824873
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 341995 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1200 S Farmerville St
Ruston, LA 71270-5941
Phone: (318) 255-3690
Approximate (ZIP-level) locationGet directions
Mailing address
1200 S Farmerville St
Ruston, LA 71270-5941
Registry dates
- Enumerated
- 2019-04-22
- Last updated
- 2024-10-10
- Certified
- 2024-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.