Individual
WHITNEY NICOLE ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
409 REGENCY PARK DR, COLUMBIA, SC 29210-4026
(803) 553-0599
Mailing address
409 REGENCY PARK DR, COLUMBIA, SC 29210-4026
(803) 553-0599
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
250420
SC
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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