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Courtney Chavis Odom

NPI Registration Record

Provider / OrganizationNPIDate Certified
COURTNEY CHAVIS ODOM19620956122021-02-13

Courtney Chavis Odom is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1962095612. Registration indicates Courtney Chavis Odom is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers) (Student, Health Care, Student in an Organized Health Care Education/Training Program) (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)

Entity TypeIndividual
Provider NameMrs. Courtney Chavis Odom
Practice Office Address407 E TATUM AVE
MC COLL, SC US
Practice Office Telephone8438621231
Mailing Address407 E TATUM AVE
MC COLL, SC 295702217 US
Business Telephone8438621231
HPT Codes
CodePractice
License No
State
163W00000X
Nursing Service Providers
Registered Nurse
Registered Nurse

All Other Specialties & Provider Types

Registered Nurse
Nursing Service Providers
225769
SC
390200000X PRIMARY
Student, Health Care
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program

All Other Specialties & Provider Types

Student in an Organized Health Care Education/Training Program
Student, Health Care
OPI Codes

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