Individual
DR. CHERYL ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9849 ROME BLVD, SUMMERVILLE, GA 30747-1585
(706) 857-4342
Mailing address
1406 FORE WINDS HL, OOLTEWAH, TN 37363-9365
(404) 242-7606
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
024411
GA
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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