Individual provider · Type 1 NPI
Cormac Odonovan, MD
Neurology Physician · Winston Salem, NC
NPI number
1366428443
Active
Practice location
Medical Center Blvd
Winston Salem, NC 27157-0001
Fax (336) 716-9016
Mailing address
PO Box 344
Winston Salem, NC 27102-0344
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurology Physician Primary | 2084N0400X | 9500678 (NC) |
| Clinical Neurophysiology Physician | 2084N0600X | 9500678 (NC) |
Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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About NPI 1366428443
Cormac Odonovan, MD's National Provider Identifier is 1366428443, issued on Dec 20, 2005. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Winston Salem, NC. The record was last updated on Nov 12, 2010.