John W. Odom, MD

Surgery Physician · Rincon, GA

Individual Active NPI

NPI number 1508866773

Practice location

594 S Columbia Ave
Ste 100
Rincon, GA 31326-0919
Phone
(912) 826-4057
Fax
(912) 826-2853

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NPI record

NPI
1508866773
Entity type
Individual (Type 1)
Enumeration date
July 28, 2005
Last updated
February 4, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X 033661 GA

Mailing address

PO Box 919
594 S Columbia Drive, Ste 100
Rincon, GA 31326-0919
Phone
(912) 826-4057
Fax
(912) 826-2853

About Dr. Odom

John W. Odom, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 594 S Columbia Ave, Ste 100, Rincon, GA 31326-0919. The NPI number 1508866773 was assigned on July 28, 2005 and the record was last updated on February 4, 2010.

Dr. Odom lists a license in the registry: #033661 (GA) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John W. Odom, MD?

The NPI number is 1508866773.

What is the phone number of Dr. Odom?

The phone number listed for the practice location is (912) 826-4057.

Where is Dr. Odom located?

594 S Columbia Ave, Ste 100, Rincon, GA 31326-0919.

What is the taxonomy code for Dr. Odom?

The primary taxonomy code is 208600000X – Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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