Individual
DR. H EDWARD ODOM
Active
Individual
DR. H EDWARD ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
45430
TN
207R00000X
Internal Medicine Physician
ME78116
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265967100
—
FL
Enumeration date
10/18/2005
Last updated
03/26/2022
Update your record
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