Individual
DR. REBECCA ERION ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2333 KNOB CREEK RD STE 16, JOHNSON CITY, TN 37604-2007
(423) 975-0764
(423) 975-0141
Mailing address
PO BOX 632476, CINCINNATI, OH 45263-2476
(423) 975-0764
(423) 975-0141
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
65533
TN
Other
Enumeration date
05/04/2017
Last updated
02/17/2025
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