Individual
MR. BRADLEY WAYNE ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS-HIS
Contact information
Practice address
402 SINGLETON RIDGE ROAD, CONWAY, SC 29526
(843) 347-3005
(843) 347-3105
Mailing address
1930 RIVERSIDE DRIVE, CONWAY, SC 29526-8008
(843) 349-3005
(843) 347-3105
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
902
NC
237700000X
Hearing Instrument Specialist
Primary
HAS-0428
SC
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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