Individual
CHRISTINA ANNA NICOLE ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
105 CARNEGIE PL STE 106, FAYETTEVILLE, GA 30214-3980
(770) 716-7999
(770) 716-8444
Mailing address
7580 DEERRIDGE WAY, FAIRBURN, GA 30213-6556
(678) 763-4919
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN275604
GA
Other
Enumeration date
06/13/2022
Last updated
12/21/2025
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