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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790889095 NPPES
Georgia MEDICAID D00149553E

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