Susan Odom
Gynecologist - Maternal & Fetal Medicine
1100 E Wendover Ave
Greensboro
, North Carolina 27405-6713
Susan Odom
Gynecologist - Maternal & Fetal Medicine
1100 E Wendover Ave
Greensboro
, North Carolina 27405-6713
(336) 299-2196
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About
Features
Specialties
- Gynecologist - Maternal & Fetal Medicine
Languages spoken
- English
Location
First Address
- Susan Odom
- 4007 Hazel Ln
- Greensboro, NC
- Zip : 27408-3191
- Phone : (336) 299-2196
Second Address
- Susan Odom
- 1100 E Wendover Ave
- Greensboro, NC
- Zip : 27405-6713
- Phone : (336) 641-4135
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FAQs
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What type of doctor is Susan Odom
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 248328 | NC |
National Provider Identifier
| NPI | 1083028849 |
|---|---|
| Provider Name | Susan Odom |
| First Address | Greensboro, NC 27408-3191 |
| Second Address | Greensboro, NC 27405-6713 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/06/2014 |
| Last Update Date | 19/06/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.