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Individual

RACHEL AKOTH ODILLIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2430 BROOKSTONE CENTRE PKWY, COLUMBUS, GA 31904-4501
(706) 494-7700
Mailing address
19 TACOMA ST, WORCESTER, MA 01605-3516

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN2359830
MA
363L00000X
Nurse Practitioner
Primary
RN331108
GA

Other

Enumeration date
02/02/2022
Last updated
10/22/2024
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