Individual
SUSAN ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1100 E WENDOVER AVE, GREENSBORO, NC 27405-6713
(336) 641-4135
Mailing address
4007 HAZEL LN, GREENSBORO, NC 27408-3191
(336) 299-2196
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
248328
NC
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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