Individual
WILLIAM THOMAS ODOM II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7921 BROAD RIVER RD, IRMO, SC 29063-2358
(803) 749-8585
(803) 749-8909
Mailing address
PO BOX 1997, IRMO, SC 29063-1997
(803) 749-8585
(803) 749-8909
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
16893
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1452
—
SC
Enumeration date
05/16/2006
Last updated
04/29/2013
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