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

TaxonomyCodeLicense
Neurology Physician Primary 2084N0400X9500678 (NC)
Clinical Neurophysiology Physician 2084N0600X9500678 (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.