Individual
DR. MICHAEL ODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
438 E VANN RD, SUITE 100, GREENEVILLE, TN 37743-7202
(423) 278-1700
(423) 278-1708
Mailing address
PO BOX 37087, BALTIMORE, MD 21297-3087
(828) 687-5616
(828) 650-8076
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
005807
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31442811
—
TN
01
—
MD5807
STATE LICENSES
TN
Enumeration date
06/08/2006
Last updated
06/15/2015
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