Individual
MR. PAUL ODAK ADHOLLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1520 OWEN PARK LN, FAYETTEVILLE, NC 28304
(910) 860-3500
(910) 485-3507
Mailing address
PO BOX 40606, FAYETTEVILLE, NC 28309-0606
(910) 860-3500
(910) 485-3507
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9500293
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8911931
—
NC
Enumeration date
11/10/2005
Last updated
04/27/2017
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