Tracy Marie Odom (NPI# 1104332527, PAC ID# 7517216617) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1104332527 |
| PAC ID by PECOS | 7517216617 |
| Professional Enrollment ID | I20180823000372 |
| Full Name | Tracy Marie Odom |
| Organization Legal Name | WIREGRASS WELLNESS CENTER, LLC |
| Address |
201 Regency Ct Dothan AL 36305-1179 |
| Phone Number | 3346738869 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | PSYCHIATRY |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 9234106147 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 10659 Nw State Rd, Suite 20, Bristol, FL 32321-3441 | 3346738869 | WIREGRASS WELLNESS CENTER, LLC |
| 201 Regency Ct, Dothan, AL 36305-1179 | 3346738869 | WIREGRASS WELLNESS CENTER, LLC |
| 4428 Lafayette St, Marianna, FL 32446-3405 | 3346738869 | WIREGRASS WELLNESS CENTER, LLC |
| 126 Hospital Ave, Ozark, AL 36360-2018 | 3346738869 | WIREGRASS WELLNESS CENTER, LLC |
| Organization Legal Name | WIREGRASS WELLNESS CENTER, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dallarie Charme Jamison | Nurse Practitioner | Wiregrass Wellness Center, LLC | 201 Regency Ct, Dothan, AL 36305-1179 |
| John C Strunk | Psychiatry | Wiregrass Wellness Center, LLC | 141 Scouting Cir, Troy, AL 36081-2540 |
| Jimmie Guyton | Clinical Social Worker | Wiregrass Wellness Center, LLC | 153 Scouting Cir, Troy, AL 36081-2540 |
| Street Address |
201 REGENCY CT |
| City | DOTHAN |
| State | AL |
| Zip | 36305-1179 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dallarie Charme Jamison | Nurse Practitioner | Wiregrass Wellness Center, LLC | 201 Regency Ct, Dothan, AL 36305-1179 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Norma Faye Mcknight | Nurse Practitioner | Affiliated Dermatology, PC | 4300 W Main St, Suite 102, Dothan, AL 36305-1051 |
| Kelli N Heer | Physician Assistant | Affiliated Dermatology, PC | 4300 W Main St, Suite 102, Dothan, AL 36305-1051 |
| Robert M Hagler | Obstetrics/gynecology | Womens Healthcare of Dothan PC | Suite, 31 4300 W Main St, Dothan, AL 36305-1051 |
| Tonia L Ruddock | Dermatology | Affiliated Dermatology, PC | 4300 W Main St, Suite 102, Dothan, AL 36305-1051 |
| Laura M Tamburin | Dermatology | Affiliated Dermatology, PC | 4300 W Main St, Suite 102, Dothan, AL 36305-1051 |
| Candace N Short | Nurse Practitioner | Womens Healthcare of Dothan PC | Suite, 31 4300 W Main St, Dothan, AL 36305-1051 |
| James Butler | Obstetrics/gynecology | Womens Healthcare of Dothan PC | Suite, 31 4300 W Main St, Dothan, AL 36305-1051 |
| Craig D Omohundro | Dermatology | Affiliated Dermatology, PC | 4300 W Main St, Suite 102, Dothan, AL 36305-1051 |
| Philip Mathew Dozier | Obstetrics/gynecology | Womens Healthcare of Dothan PC | Suite, 31 4300 W Main St, Dothan, AL 36305-1051 |
| Christopher E Nicholls | Obstetrics/gynecology | Womens Healthcare of Dothan PC | Suite, 31 4300 W Main St, Dothan, AL 36305-1051 |
| Find all physicians in zip 36305 | |||
| City | DOTHAN |
| Zip Code | 36305 |
| Specialty | PSYCHIATRY |
| City + Specialty | DOTHAN + PSYCHIATRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.