Organization
PEDIATRICS AT THE HAMPTONS
Active
Other names
DR. ANGELA ODOM AUSTIN
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA DENISE ODOM AUSTIN MD (PHYSICIAN)
(757) 247-1111
Entity
Organization
Contact information
Practice address
410B MARCELLA RD, HAMPTON, VA 23666-2487
(757) 247-1111
(757) 825-5740
Mailing address
410 MARCELLA RD, B, HAMPTON, VA 23666-2487
(757) 247-1111
(757) 825-5740
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006754406
—
VA
Enumeration date
12/15/2008
Last updated
10/03/2012
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