Harrell Odom in Nashville - Specialist

Harrell Odom - NPI 1932102001

Harrell Odom is a Specialist in Nashville, Tennessee. Harrell Odom practices all healthcare services and medical treatments related to Specialist. The NPI Number for Harrell Odom is 1932102001. The last update date is 2008-04-18.

Harrell Odom's current location address is 222 22nd Ave N, Nashville, Tennessee. You can contact this provider via phone number 6153295144 and fax number 6152842751. The mailing address for Harrell Odom is 222 22nd Ave N, Nashville, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Harrell Odom
Address 222 22nd Ave N, Nashville, Tennessee
Phone Number 6153295144
Fax Number 6152842751
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1932102001
Provider Enumeration Date 2005-05-23
Last Updated Date 2008-04-18

Provider Mailing Address Detail

Address 222 22nd Ave N
City Nashville
State Tennessee (TN)
Post Code 3720318310
Phone Number 6153295144
Fax Number 6152842751

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 18412
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
3074482 TN --

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FAQs about Harrell Odom

What is the unique provider identifier assigned to Harrell Odom?

The Harrell Odom has been issued the NPI (National Provider Identifier) 1932102001 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Harrell Odom's physical address?

The Harrell Odom is physically located at 222 22Nd Ave N, in the city of Nashville, TN, with the postal code 3720318310.

What is Harrell Odom's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Harrell Odom is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1932102001 to Harrell Odom?

The Centers for Medicare & Medicaid Services assigned the 1932102001 to Harrell Odom on 2005-05-23.

As of what date were the details related to Harrell Odom most recently updated or revised?

The information pertaining to Harrell Odom, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-18.

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