Cecil Douglas Odom in Jackson - Gynecology
Cecil Douglas Odom - NPI 1093815474
Cecil Douglas Odom is a Gynecology in Jackson, Mississippi. Cecil Douglas Odom practices all healthcare services and medical treatments related to Gynecology. The NPI Number for Cecil Douglas Odom is 1093815474. The last update date is 2010-10-18.
Cecil Douglas Odom's current location address is 1020 River Oaks Drive,, Jackson, Mississippi. You can contact this provider via phone number 6019325006 and fax number 6019324548. The mailing address for Cecil Douglas Odom is 1020 River Oaks Drive,, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Name | Cecil Douglas Odom |
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Address | 1020 River Oaks Drive,, Jackson, Mississippi |
Phone Number | 6019325006 |
Fax Number | 6019324548 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1093815474 |
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Provider Enumeration Date | 2006-09-25 |
Last Updated Date | 2010-10-18 |
Provider Mailing Address Detail
Address | 1020 River Oaks Drive, |
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City | Jackson |
State | Mississippi (MS) |
Post Code | 39232 |
Phone Number | 6019325006 |
Fax Number | 6019324548 |
Provider's Primary Taxonomy Detail
Speciality | Gynecology |
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Taxonomy | 207Vg0400X |
Licence No | 5821 |
Definition: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
17818 | MS | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Cecil Douglas Odom?
The Cecil Douglas Odom has been issued the NPI (National Provider Identifier) 1093815474 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Cecil Douglas Odom is geographically located?
The Cecil Douglas Odom is physically situated at the following location: 1020 River Oaks Drive,, Jackson, MS, 39232.
What is Cecil Douglas Odom's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Cecil Douglas Odom is Gynecology, and the taxonomy classification code that categorizes this area of expertise is 207Vg0400X.
When did Cecil Douglas Odom receive its 1093815474 assignment?
The Cecil Douglas Odom was assigned its 1093815474 on 2006-09-25, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Cecil Douglas Odom most recently updated or revised?
The details related to Cecil Douglas Odom, including its address, specialty, and other relevant information, were last updated or revised on 2010-10-18.
NPI Number: 1376546309
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