DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ALBERT E ODOM JR. MD

MEDICARE: ALBERT E ODOM JR. MD
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
1207VG0400XGynecology Physician12029SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790737997
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALBERT E ODOM JR. MD
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 : 803-296-7330
Provider Business Practice Location Address
First Line : 300 PALMETTO HEALTH PKWY STE 300
Second Line :
City : COLUMBIA
State : SC
Zip : 29212-1763
Country : US
Telephone Number : 803-907-7300
Fax Number : 803-907-7309
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 04/04/2018

Similar Medicare Providers

1376476580 — FIONA JOY KINARD RN
Practice Location Address:
300 PALMETTO HEALTH PKWY STE 300
COLUMBIA, SC
29212-1763
Practice Phone: 803-907-7300
Practice Fax:
1548260946 — SHARON LYNETTE ALDRICH MD
Practice Location Address:
300 PALMETTO HEALTH PKWY STE 300
COLUMBIA, SC
29212-1763
Practice Phone: 803-907-7300
Practice Fax: 803-907-7309
1225006372 — JENNIFER M RISINGER M.D.
Practice Location Address:
300 PALMETTO HEALTH PKWY STE 300
COLUMBIA, SC
29212-1763
Practice Phone: 803-907-7300
Practice Fax:
1588046411 — DR. LAWREN EVELYN HONKEN M.D.
Practice Location Address:
300 PALMETTO HEALTH PKWY STE 300
COLUMBIA, SC
29212-1763
Practice Phone: 803-907-7300
Practice Fax:
1417323213 — MATTIE KRISTEN BRAZELL JULIAN WHNP
Practice Location Address:
300 PALMETTO HEALTH PKWY STE 300
COLUMBIA, SC
29212-1763
Practice Phone: 803-907-7300
Practice Fax: 803-907-7309
1265800783 — MEGAN A CRANE NP
Practice Location Address:
300 PALMETTO HEALTH PKWY STE 300
COLUMBIA, SC
29212-1763
Practice Phone: 803-907-7700
Practice Fax: 803-907-7309

Directions to “ ALBERT E ODOM JR. MD” 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 © 2007-2026 (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.