Individual
CYNTHIA C. ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, FNP
Contact information
Practice address
920 MATTHEW DR, WAYNESBORO, MS 39367-2553
(601) 735-2401
(601) 735-5205
Mailing address
PO BOX 1249, WAYNESBORO, MS 39367-1249
(601) 735-2401
(601) 735-5205
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R748528
MS
367A00000X
Advanced Practice Midwife
Primary
R748528
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116409
—
MS
05
—
569900143
—
AL
01
—
730-19137
BCBS OF AL
AL
Enumeration date
11/22/2005
Last updated
04/24/2017
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