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Individual

DR. LAWRENCE DUDLEY ODOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5354 REYNOLDS ST, STE 333, SAVANNAH, GA 31405
(912) 354-8558
(912) 354-5827
Mailing address
5354 REYNOLDS ST, STE 333, SAVANNAH, GA 31405
(912) 354-8558
(912) 354-5827

Taxonomy

Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
17016
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D00149553E
GA
Enumeration date
09/08/2006
Last updated
07/08/2007
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