ALBERT E ODOM JR.


Address: 300 Palmetto Health Pkwy Ste 300, Columbia, SC 29212-1763
Phone: 8039077300

ALBERT E ODOM JR. (NPI# 1790737997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790737997
Entity Type Individual
Full Name ALBERT E ODOM JR.
Credential MD
Practice Address 300 Palmetto Health Pkwy Ste 300
Columbia
SC 29212-1763
Mailing Address Po Box 743904
Atlanta
GA 30374-3904
Practice Telephone 8039077300
Practice Fax Number 8039077309
Mailing Telephone 8032967320
Mailing Fax Number 8032967330
Enumeration Date 2006-05-16
Last Update Date 2018-04-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VG0400X Obstetrics & Gynecology
Specialization: Gynecology
12029 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC 120292 05

Office Location

Street Address 300 PALMETTO HEALTH PKWY STE 300
City COLUMBIA
State SC
Zip Code 29212-1763

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225006372 Jennifer M Risinger Obstetrics & Gynecology 300 Palmetto Health Pkwy Ste 300, Columbia, SC 29212-1763 2006-03-14
1083101471 Palmetto Health - University of South Carolina Medical Group Obstetrics & Gynecology 300 Palmetto Health Pkwy Ste 300, Columbia, SC 29212-1763 2018-04-20
1417323213 Mattie Kristen Brazell Julian Nurse Practitioner 300 Palmetto Health Pkwy Ste 300, Columbia, SC 29212-1763 2015-08-15
1588046411 Lawren Evelyn Honken Obstetrics & Gynecology 300 Palmetto Health Pkwy Ste 300, Columbia, SC 29212-1763 2015-06-27
1891759916 Mark David Wild Obstetrics & Gynecology 300 Palmetto Health Pkwy Ste 300, Columbia, SC 29212-1763 2006-04-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245758887 Amanda Gail Holloman Pharmacist 6021 St. Andrews Road, Columbia, SC 29212 2017-09-04
1578080180 Alvin Mitchell Jr. Non-emergency Medical Transport (VAN) 10 Breezewood Court, Columbia, SC 29212 2017-08-24
1467975102 Shelby Clemmer Behavior Technician 2 Harbison Way, Columbia, SC 29212 2017-07-25
1982149019 Showntellem Private Vehicle 336 Foxfire Dr, Columbia, SC 29212 2016-12-28
1902215296 Miranda Willis Adult Day Care, LLC Social Worker 5932 Mcmillian Circle, Columbia, SC 29212 2014-08-12
1013342591 Robert Glendon Long Pediatrics 15 Woodpine Ct, Columbia, SC 29212 2013-09-04
1174969638 Melinda Dumas Crenshaw Psychologist 2800 Ashland Rd., Columbia, SC 29212 2013-05-10
1417209982 Physician Services LLC Internal Medicine 214 Lake Front Drive, Physician Services, Cola, SC 29212 2012-10-09
1306131800 Rocky Mountain Holdings LLC Ambulance 6015 Saint Andrews Rd, Columbia, SC 29212 2011-06-13
1023262839 Candace Anne Aguiar Nurse Anesthetist, Certified Registered 400 Palmetto Health Pkwy, Palmetto Health Baptist Parkridge, Columbia, SC 29212 2008-11-06
Find all providers in zip 29212

Taxonomy Information

Taxonomy Code 207VG0400X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043638620 Adair County Hospital District Obstetrics & Gynecology 902 Westlake Dr Ste 107, Columbia, KY 42728-1149 2014-04-01
1326316803 Lexington County Health Services District, Inc. Obstetrics & Gynecology 90 Summit Centre Dr, Columbia, SC 29229-6926 2011-12-12
1386880672 Juliet Chhay Bishop Obstetrics & Gynecology 2 Medical Park Rd Ll9/10, Columbia, SC 29203-6839 2008-12-17
1649340225 Susan Thomas Gray Obstetrics & Gynecology 1394 Hatcher Ln, Columbia, TN 38401-3568 2006-11-09
1689644221 Eric Steven Spotts Obstetrics & Gynecology 114 Gateway Corporate Blvd, Suite 350, Columbia, SC 29203-9740 2006-01-25
1679136873 Jamie Lee Hamilton Obstetrics & Gynecology 460 Clemson Rd, Columbia, SC 29229-7925 2019-04-15
1083101471 Palmetto Health - University of South Carolina Medical Group Obstetrics & Gynecology 300 Palmetto Health Pkwy Ste 300, Columbia, SC 29212-1763 2018-04-20
1477880953 Woman To Woman Obstetric and Gynecologic Associates, P.a. Obstetrics & Gynecology 576 State Route 94, Columbia, NJ 07832-2523 2009-11-04
1053573501 Dana C. Baras Obstetrics & Gynecology 10710 Charter Dr, Suite 200, Columbia, MD 21044-3128 2008-06-26
1508964859 Romeo Pozon Perez Obstetrics & Gynecology 4500 Stuart St, Moncrief Army Community Hospital, Columbia, SC 29207-5700 2006-09-20
Find all providers in COLUMBIA

Competitor

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City COLUMBIA
Zip Code 29212

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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