Individual
ALICIA ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3495 PIEDMONT RD NE, ATLANTA, GA 30305-1717
(404) 364-7000
Mailing address
115 EASTMARK WAY, FAYETTEVILLE, GA 30214-3272
(770) 280-5974
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
RN195703
GA
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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