Carol M Odegaard in Jackson - Family Medicine
Carol M Odegaard - NPI 1700876554
Carol M Odegaard is a Family Medicine in Jackson, Georgia. Carol M Odegaard practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Carol M Odegaard is 1700876554. The last update date is 2019-05-07.
Carol M Odegaard's current location address is 261 Brookwood Ave, Jackson, Georgia. You can contact this provider via phone number 6787520555 and fax number 6787520556. The mailing address for Carol M Odegaard is 261 Brookwood Ave, Jackson, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Carol M Odegaard |
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Address | 261 Brookwood Ave, Jackson, Georgia |
Phone Number | 6787520555 |
Fax Number | 6787520556 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1700876554 |
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Provider Enumeration Date | 2005-10-24 |
Last Updated Date | 2019-05-07 |
Provider Mailing Address Detail
Address | 261 Brookwood Ave |
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City | Jackson |
State | Georgia (GA) |
Post Code | 302331460 |
Phone Number | 6787520555 |
Fax Number | 6787520556 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | 40495 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
000752166S | GA | -- | |
202I083605 | GA | CMOMDPC IND MCARE # | |
P00708556 | GA | RAILROAD MEDICARE | |
000752166U | GA | CMOMDPC IND MCAID # |
Post Comment/ Review Below
What is the Carol M Odegaard's 1700876554?
The Carol M Odegaard's NPI (National Provider Identifier) Number is 1700876554. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Carol M Odegaard is geographically located?
The Carol M Odegaard is physically situated at the following location: 261 Brookwood Ave, Jackson, GA, 302331460.
What is the Carol M Odegaard's area of specialization and corresponding taxonomy classification?
The Carol M Odegaard's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Carol M Odegaard receive the assignment of its 1700876554 from the Centers for Medicare & Medicaid Services?
The Carol M Odegaard was issued its 1700876554 by the Centers for Medicare & Medicaid Services on 2005-10-24.
As of what date were the details pertaining to Carol M Odegaard last refreshed?
The information related to the Carol M Odegaard, including its address, specialty, and other relevant details, was last updated on 2019-05-07.