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Individual

WILLIAM O ODER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
316 N MAIN ST, SWAINSBORO, GA 30401-3535
(478) 237-2638
(478) 237-9138
Mailing address
316 N MAIN ST, SWAINSBORO, GA 30401-3535
(478) 237-2638
(478) 237-9138

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
005590
GA

Other

Enumeration date
06/15/2009
Last updated
06/15/2009
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