Odom, Lawrence Dudley
Odom, Lawrence Dudley is an individual health care provider with primary practice located at 5354 Reynolds St Ste 333, Savannah GA 31405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as his primary health care specialty. Odom, Lawrence Dudley can be contacted via phone (912) 354-8558.Contact Information
Primary practice address
5354 Reynolds St Ste 333
Savannah GA 31405
Phone: (912) 354-8558
Fax: (912) 354-5827
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | 17016 | Georgia |
Profile Details
| NPI number | 1790889095 |
|---|---|
| LBN Legal business name | Odom, Lawrence Dudley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790889095 | NPPES |
| Georgia | MEDICAID | D00149553E |
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