Individual
RHONDA MONIQUE ODOM-FUNCHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
(601) 362-5321
Mailing address
3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
(601) 362-5321
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18469
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01173387
—
MS
Enumeration date
07/24/2007
Last updated
09/04/2014
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