Carroll G Odem in Chattanooga - Internal Medicine

Carroll G Odem - NPI 1144224957

Carroll G Odem is a Internal Medicine in Chattanooga, Tennessee. Carroll G Odem practices all healthcare services and medical treatments related to Internal Medicine. 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
Address 8309 Grinder Creek Pl, Chattanooga, Tennessee
Phone Number 4234009910
Fax Number 4233325195
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1144224957
Provider Enumeration Date 2005-06-09
Last Updated Date 2021-03-12

Provider Mailing Address Detail

Address 8309 Grinder Creek Pl
City Chattanooga
State Tennessee (TN)
Post Code 3742127450
Phone Number 4234009910
Fax Number 4233325195

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 51171
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3882406 TN --

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FAQs about Carroll G Odem

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 Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.

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.

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