Individual
DR. TRAVIS LEE ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
PO BOX 11049, NORFOLK, VA 23517-0049
(757) 668-7871
(757) 668-8658
Mailing address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 744-2335
(252) 744-3811
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
0101281971
VA
Other
Enumeration date
04/06/2018
Last updated
09/24/2024
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