Terry W Odom Pediatrics

LBN: Terry W Odom Pediatrics
Terry W Odom Pediatrics is an health care organization with primary practice located at 702 Earl Frye Blvd , Amory MS 38821-9403. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Terry W Odom Pediatrics can be contacted via phone (662) 256-9391, or through Odom, Terry W via phone (662) 256-9391.

Contact Information

Primary practice address
702 Earl Frye Blvd Amory MS 38821-9403
Phone: (662) 256-9391
Fax: (662) 256-4307
Website:
Map and Directions
Authorized official contact:
Name: Odom, Terry W Doctor of Medicine (MD)
Phone: (662) 256-9391

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1679672497
LBN Legal business name Terry W Odom Pediatrics
DBA Doing business as
Authorized official Odom, Terry W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated Jun 8th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679672497 NPPES
Mississippi MEDICAID 06136862

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