Individual
CONSTANCE R TAMBAKIS-ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 NORTH MAIN STREET, KENANSVILLE, NC 28349
(910) 296-2738
Mailing address
804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907-2464
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01414
NC
Other
Enumeration date
08/07/2006
Last updated
10/19/2007
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