MEDICARE: DR. ERICA PATRESE ODUM M.D.

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
1	208000000X	Pediatrics Physician	00000	TN

General Provider Information

NPI Number	:	1558365429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERICA PATRESE ODUM M.D.

Provider Business Mailing Address
First Line	:	1665 BONNIE LN
Second Line	:	SUITE 101
City	:	CORDOVA
State	:	TN
Zip	:	38016-0548
Country	:	US
Telephone Number	:	901-531-8555
Fax Number	:	901-531-8560

Provider Business Practice Location Address
First Line	:	1665 BONNIE LN
Second Line	:	SUITE 101
City	:	CORDOVA
State	:	TN
Zip	:	38016-0548
Country	:	US
Telephone Number	:	901-531-8555
Fax Number	:	901-531-8560

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	02/28/2011

Similar Medicare Providers

1962495655 — JEANNINE ELIZABETH HOGG MD
Practice Location Address:

1665 BONNIE LN , 101
CORDOVA, TN
38016-0548

Practice Phone: 901-531-8555
Practice Fax: 901-531-8560

1114302312 — AT YOUR RESIDENCE HEALTH CARE SERVICES
Practice Location Address:

1665 BONNIE LN , 106
CORDOVA, TN
38016-0548

Practice Phone: 901-800-2770
Practice Fax: 901-800-2771

1982235735 — ANGELA CHURCH FNP
Practice Location Address:

1665 BONNIE LN STE 101
CORDOVA, TN
38016-0548

Practice Phone: 901-531-8555
Practice Fax:

1164391157 — ERIKA TAYLOR M.A., CCC-SLP
Practice Location Address:

2000 N GERMANTOWN PKWY
CORDOVA, TN
38016-5091

Practice Phone: 901-290-3857
Practice Fax:

1407845944 — HOME HEALTH CARE OF WEST TENNESSEE, INC.
Practice Location Address:

7240 GOODLETT FARMS PKWY STE 103
CORDOVA, TN
38016-4925

Practice Phone: 901-266-5100
Practice Fax: 901-266-5644

1265533897 — SPECTRUM PAIN CLINICS INC.
Practice Location Address:

8132 CORDOVA RD
CORDOVA, TN
38016-6005

Practice Phone: 901-405-6470
Practice Fax: 901-747-2338

Directions to “ DR. ERICA PATRESE ODUM M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.