Individual
ANNIE T ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 HEALTH SCIENCE DRIVE, GREENVILLE, NC 27834
(828) 390-6404
Mailing address
500 HEALTH SCIENCE DRIVE, GREENVILLE, NC 27834
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/26/2024
Last updated
02/04/2026
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