# JAMES C ODOM JR., MD., PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588818603
- **Authorized official:** MR. JEFFREY K DANIEL (ADMINISTRATOR)
- **Authorized official phone:** (229) 387-0263

## Contact information

- **Practice address:** 416 E MCPHERSON AVE, NASHVILLE, GA 31639-2276
- **Practice address phone:** (229) 686-7671
- **Practice address fax:** (229) 686-3518
- **Mailing address:** PO BOX 1648, TIFTON, GA 31793-1648
- **Mailing address phone:** (229) 686-7671
- **Mailing address fax:** (229) 686-3518

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/17/2008
- **Last updated:** 11/17/2008