Odom, Mitchell Gray

Odom, Mitchell Gray is an sole proprietor health care provider with primary practice located at 2001 Medical Pkwy , Annapolis MD 21401-3773. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Odom, Mitchell Gray can be contacted via phone (443) 481-1000.

Contact Information

Primary practice address
2001 Medical Pkwy Annapolis MD 21401-3773
Phone: (443) 481-1000
Fax: (443) 481-6515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5004355 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AC001965 Maryland

Profile Details

NPI number 1699909283
LBN Legal business name Odom, Mitchell Gray
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2009
Last updated Mar 9th, 2017 - 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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