Anna Odom NP

NPI 1043212236 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1043212236
Gender Female
Enumeration Date 06/01/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1602 VERNON RD
STE 400
LAGRANGE GA, 30240-4100, US
Phone (706) 882-9341
Fax (706) 884-0131
Business Location
1602 VERNON RD
STE 400
LAGRANGE GA, 30240-4100, US
Phone (706) 882-9341
Fax (706) 884-0131
Toxanomy
Taxonomy Code 363L00000X
License State Georgia
License Number RN113102 NP
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According to our database, Anna Odom NP NPI is 1043212236, taxonomy code is 363L00000X and license number is RN113102 NP, license state is located at Georgia. Anna Odom NP physically located at 1602 Vernon Rd, Lagrange GA, 30240-4100. NPI Number Anna Odom NP has the Individual type.

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1043212236 NPI number is provided on an as is basis without warranty of any kind. 1043212236 is maintained by the National Plan & Provider Enumeration System. The contents of Anna Odom NP are for informational purposes only.