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NPI Code Detail

MEDICARE: ERICA ODOM MCCUMBERS FNP

MEDICARE: ERICA ODOM MCCUMBERS FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner24198SC

General Provider Information

NPI Number : 1518564897
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA ODOM MCCUMBERS FNP
Provider Business Mailing Address
First Line : PO BOX 743904
Second Line :
City : ATLANTA
State : GA
Zip : 30374-3904
Country : US
Telephone Number : 803-296-7320
Fax Number :
Provider Business Practice Location Address
First Line : 8 RICHLAND MEDICAL PARK DR STE 100
Second Line :
City : COLUMBIA
State : SC
Zip : 29203-8006
Country : US
Telephone Number : 803-434-3800
Fax Number : 803-744-2759
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2020
Last Update Date : 03/18/2026

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