Individual
ERNEST J ODDONO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
131 SAUNDERSVILLE RD, SUITE 180, HENDERSONVILLE, TN 37075-8903
(615) 824-3737
(855) 540-4722
Mailing address
131 SAUNDERSVILLE RD, SUITE 180, HENDERSONVILLE, TN 37075-8903
(615) 824-3737
(855) 540-4722
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
9400116
NC
208VP0000X
Pain Medicine Physician
Primary
94001169400116
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5714541
—
VA
01
—
63680
BCBS
NC
05
—
8963680
—
NC
Enumeration date
05/11/2006
Last updated
07/10/2015
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