Individual
DR. JERRY DEANIE ODOM SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
147 PENDLETON ST NW, AIKEN, SC 29801-3859
(803) 646-4381
Mailing address
147 PENDLETON ST NW, AIKEN, SC 29801-3859
(803) 646-4381
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038-010666
IL
111N00000X
Chiropractor
Primary
3522
SC
Other
Enumeration date
04/16/2007
Last updated
08/26/2010
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