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Individual

MRS. ELIZABETH BOYD ODOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LDN

Contact information

Practice address
19 NORTH DOBBS STREET, HALIFAX, NC 27839-0010
(252) 583-5021
(252) 583-2975
Mailing address
19 NORTH DOBBS STREET, HALIFAX, NC 27839-0010
(252) 583-5021
(252) 583-2975

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
L001680
NC
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
843319
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
340432
NC
05
3404433
NC
05
6005545
NC
Enumeration date
07/30/2010
Last updated
04/09/2014
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