John W Odom is a Surgery in Rincon, Georgia. John W Odom practices all healthcare services and medical treatments related to Surgery. The NPI Number for John W Odom is 1508866773. The last update date is 2010-02-04.
John W Odom's current location address is Po Box 919, Rincon, Georgia. You can contact this provider via phone number 9128264057 and fax number 9128262853. The mailing address for John W Odom is Po Box 919, Rincon, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John W Odom |
|---|---|
| Address | Po Box 919, Rincon, Georgia |
| Phone Number | 9128264057 |
| Fax Number | 9128262853 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1508866773 |
|---|---|
| Provider Enumeration Date | 2005-07-28 |
| Last Updated Date | 2010-02-04 |
Provider Mailing Address Detail
| Address | Po Box 919 |
|---|---|
| City | Rincon |
| State | Georgia (GA) |
| Post Code | 313260919 |
| Phone Number | 9128264057 |
| Fax Number | 9128262853 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 33661 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0437236D | GA | -- | |
| CN8505 | GA | RR MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to John W Odom by the Centers for Medicare & Medicaid Services?
The John W Odom has been issued the NPI (National Provider Identifier) 1508866773 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where John W Odom is physically located?
The John W Odom is situated at the following address: Po Box 919, Rincon, GA 313260919.
What is the John W Odom's specialty and taxonomy code?
The John W Odom's specialty is Surgery, and the corresponding taxonomy code is 208600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1508866773 to John W Odom?
The Centers for Medicare & Medicaid Services originally issued the 1508866773 to John W Odom on 2005-07-28.
As of what date were the details related to John W Odom most recently updated or revised?
The information pertaining to John W Odom, including its address, specialty, and other relevant details, was last updated or revised on 2010-02-04.
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