Individual
ANNA ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1602 VERNON RD, STE 400, LAGRANGE, GA 30240-4100
(706) 882-9341
(706) 884-0131
Mailing address
1602 VERNON RD, STE 400, LAGRANGE, GA 30240-4100
(706) 882-9341
(706) 884-0131
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN113102 NP
GA
Other
Enumeration date
06/01/2005
Last updated
07/08/2007
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