Individual
CARLYN ELEANOR ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 PALMETTO HEALTH PKWY STE 300, COLUMBIA, SC 29212-1763
(803) 907-7300
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4014
SC
Other
Enumeration date
05/18/2021
Last updated
08/20/2021
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