Individual provider · Type 1 NPI
Angela Marie Odom, FNP-C
Family Nurse Practitioner · Rincon, GA
NPI number
1740567643
Active
Practice location
5621 Hwy 21 S # Na
Rincon, GA 31326-9416
Fax (912) 295-6033
Mailing address
5621 Hwy 21 S
Rincon, GA 31326-9416
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN149476 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1740567643
Angela Marie Odom, FNP-C's National Provider Identifier is 1740567643, issued on Nov 7, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rincon, GA. The record was last updated on Feb 3, 2020.