Individual
EDITH HOLLIE ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 LANSFORD PL # 100, MYRTLE BEACH, SC 29588-6979
(843) 293-8850
(843) 293-8860
Mailing address
106 LANSFORD PL # 100, MYRTLE BEACH, SC 29588-6979
(843) 293-8850
(843) 293-8860
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25801
SC
Other
Enumeration date
01/25/2022
Last updated
01/12/2023
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