Odom, Albert E

Odom, Albert E is an individual health care provider with primary practice located at 300 Palmetto Health Pkwy Ste 300 , Columbia SC 29212-1763. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Odom, Albert E can be contacted via phone (803) 907-7300.

Contact Information

Primary practice address
300 Palmetto Health Pkwy Ste 300 Columbia SC 29212-1763
Fax: (803) 907-7309
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 12029 South Carolina

Profile Details

NPI number 1790737997
LBN Legal business name Odom, Albert E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Apr 4th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790737997 NPPES
South Carolina MEDICAID 120292

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