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Individual

SYDNEY HOWARD ODOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1077 S MAIN ST, MADISON, GA 30650-2073
(770) 578-1800
Mailing address
PO BOX 72483, MARIETTA, GA 30007-2483
(770) 578-1800

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
038896
GA

Other

Enumeration date
12/14/2006
Last updated
10/29/2007
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