Individual
MRS. ANGELA MARIE ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5621 HWY 21 S # NA, RINCON, GA 31326-9416
(912) 441-1588
(912) 295-6033
Mailing address
5621 HWY 21 S, RINCON, GA 31326-9416
(912) 295-5860
(912) 295-6033
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN149476
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137997901C
—
GA
Enumeration date
11/07/2011
Last updated
02/03/2020
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