Individual
CECIL DOUGLAS ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 RIVER OAKS DRIVE,, STE 310, JACKSON, MS 39232
(601) 932-5006
(601) 932-4548
Mailing address
1020 RIVER OAKS DRIVE,, STE 310, JACKSON, MS 39232
(601) 932-5006
(601) 932-4548
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
05821
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00017818
—
MS
Enumeration date
09/25/2006
Last updated
10/18/2010
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