Organization · Type 2 NPI

Odell Still Do LLC

Family Medicine Physician · Alamo, GA

NPI number 1033425962 Active

Practice location

28 W Railroad Ave
Alamo, GA 30411-3513

Call (912) 568-1407 Map

Fax (912) 568-1579

Mailing address

PO Box 407
Vidalia, GA 30475-0407

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

NPI record

NPI: 1033425962
Entity type: Organization (Type 2)
Issued: Aug 30, 2010
Last updated: Sep 15, 2015
Status: Active
Subpart: Yes of Southeast Regional Primary Care Corporation

Other names

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Southeast Regional Primary Care Corp · doing business as

Authorized official

Tony M Osteen
CFO
(912) 538-5314

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1033425962

Odell Still Do LLC's National Provider Identifier is 1033425962, issued on Aug 30, 2010. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Alamo, GA. The record was last updated on Sep 15, 2015.