Carroll G Odem is a Specialist in Chattanooga, Tennessee. Carroll G Odem practices all healthcare services and medical treatments related to Specialist. The NPI Number for Carroll G Odem is 1144224957. The last update date is 2021-03-12.
Carroll G Odem's current location address is 8309 Grinder Creek Pl, Chattanooga, Tennessee. You can contact this provider via phone number 4234009910 and fax number 4233325195. The mailing address for Carroll G Odem is 8309 Grinder Creek Pl, Chattanooga, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Name | Carroll G Odem |
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Address | 8309 Grinder Creek Pl, Chattanooga, Tennessee |
Phone Number | 4234009910 |
Fax Number | 4233325195 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1144224957 |
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Provider Enumeration Date | 2005-06-09 |
Last Updated Date | 2021-03-12 |
Provider Mailing Address Detail
Address | 8309 Grinder Creek Pl |
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City | Chattanooga |
State | Tennessee (TN) |
Post Code | 3742127450 |
Phone Number | 4234009910 |
Fax Number | 4233325195 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | MD24920 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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3882406 | TN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Carroll G Odem by the Centers for Medicare & Medicaid Services?
The Carroll G Odem has been assigned the NPI (National Provider Identifier) 1144224957. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Carroll G Odem is physically located?
The Carroll G Odem is physically situated at the following address: 8309 Grinder Creek Pl, Chattanooga, TN, 3742127450.
What is Carroll G Odem's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Carroll G Odem's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date was the 1144224957 assigned to Carroll G Odem?
The Carroll G Odem was issued its 1144224957 on 2005-06-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Carroll G Odem most recently updated or revised?
The information pertaining to Carroll G Odem, including its address, specialty, and other relevant details, was last updated or revised on 2021-03-12.