Individual
MS. ANYA VINETTE GREEN-ODLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2100 ERWIN RD, DURHAM, NC 27705-3941
(919) 684-6721
Mailing address
1617 SNOWMASS WAY, DURHAM, NC 27713-4514
(510) 967-8078
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001001561
NC
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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