Odom, Cynthia C.

Odom, Cynthia C. is an individual health care provider with primary practice located at 920 Matthew Dr , Waynesboro MS 39367-2553. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Odom, Cynthia C. can be contacted via phone (601) 735-2401.

Contact Information

Primary practice address
920 Matthew Dr Waynesboro MS 39367-2553
Phone: (601) 735-2401
Fax: (601) 735-5205
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X R748528 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R748528 Mississippi

Profile Details

NPI number 1093798266
LBN Legal business name Odom, Cynthia C.
Credentials CNM, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Apr 24th, 2017 - about 8 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 1093798266 NPPES
Alabama Other 730-19137 BCBS OF AL
Alabama MEDICAID 00116409 BCBS OF AL
Alabama MEDICAID 569900143 BCBS OF AL

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