Individual
MERIDITH NICOLE ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6650 HIGHWAY 81 N, PIEDMONT, SC 29673-9055
(864) 512-5910
(864) 512-5915
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 512-5910
(864) 512-5915
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41067
SC
207Q00000X
Family Medicine Physician
LL41067
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410674
—
SC
Enumeration date
06/27/2017
Last updated
07/21/2022
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