Cecil Douglas Odom M.D.

NPI 1093815474 - Obstetrics & Gynecology - 207VG0400X

NPI Details
NPI 1093815474
Gender Male
Enumeration Date 09/25/2006
Last Updated 10/18/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
1020 RIVER OAKS DRIVE,
STE 310
JACKSON MS, 39232, US
Phone (601) 932-5006
Fax (601) 932-4548
Business Location
1020 RIVER OAKS DRIVE,
STE 310
JACKSON MS, 39232, US
Phone (601) 932-5006
Fax (601) 932-4548
Toxanomy
Taxonomy Code 207VG0400X
License State Mississippi
License Number 05821
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According to our database, Cecil Douglas Odom M.D. NPI is 1093815474, taxonomy code is 207VG0400X and license number is 05821, license state is located at Mississippi. Cecil Douglas Odom M.D. physically located at 1020 River Oaks Drive,, Jackson MS, 39232. NPI Number Cecil Douglas Odom M.D. has the Individual type.

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1093815474 NPI number is provided on an as is basis without warranty of any kind. 1093815474 is maintained by the National Plan & Provider Enumeration System. The contents of Cecil Douglas Odom M.D. are for informational purposes only.