Individual provider · Type 1 NPI
Edith Hollie Odom
Family Nurse Practitioner · Myrtle Beach, SC
NPI number
1023760626
Active
Practice location
106 Lansford Pl # 100
Myrtle Beach, SC 29588-6979
Fax (843) 293-8860
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 25801 (SC) |
Family Nurse Practitioner: Definition to come...
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About NPI 1023760626
Edith Hollie Odom's National Provider Identifier is 1023760626, issued on Jan 25, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Jan 12, 2023.