NPI 1073609467 MR. PAUL LEROY ODOM MD WATER VALLEY MS. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mr. Paul Leroy Odom - NPI: 1073609467

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MR. PAUL LEROY ODOM
NPI Number: 1073609467
Entity Type Code: Individual (1)
Gender: M
Credentials: MD
License Number: MS04851
Business Practice Address: 604 South Main Street
Water Valley, MS - 38965
Business Phone Number: 6624731311
Business Fax Number: 6624732489
Mailing Address: Po Box 725, 604 South Main Street
WATER VALLEY
State: MS
Postal Code: 38965
Phone Number: 6624731311
Fax Number: 6624732489
NPI Enumeration Date: 10/05/2006
NPI Last Update Date: 05/13/2010
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 207Q00000X
License Number: MS04851
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MS
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: Family Medicine
Taxonomy Specialization:
Taxonomy Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.


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