Individual
DR. STEPHEN G. ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1005 N TENNESSEE BLVD, MURFREESBORO, TN 37130-2653
(615) 893-1615
(615) 893-2747
Mailing address
1005 N TENNESSEE BLVD, MURFREESBORO, TN 37130-2653
(615) 893-1615
(615) 893-2747
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6332
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2006264
BLUE CROSS
TN
01
—
2604322
CIGNA
TN
05
—
3156890
—
TN
01
—
44D0307626
CLIA ID NUMBER
—
Enumeration date
06/11/2006
Last updated
07/19/2010
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