Individual
ODETTE D FISHER-GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3700 FOREST DR STE 200, COLUMBIA, SC 29204-4010
(803) 219-4686
(803) 973-6626
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 695-6071
(843) 569-5879
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN1592
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0579
—
SC
Enumeration date
12/23/2005
Last updated
07/06/2021
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