Oddi, Bernard F

Oddi, Bernard F is an individual health care provider with primary practice located at 328 Lum Crowe Rd , Roswell GA 30075-6879. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Oddi, Bernard F can be contacted via phone (912) 293-1710.

Contact Information

Primary practice address
328 Lum Crowe Rd Roswell GA 30075-6879
Phone: (912) 293-1710
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 048450 Georgia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 48450 Georgia

Profile Details

NPI number 1245270727
LBN Legal business name Oddi, Bernard F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Oct 4th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245270727 NPPES
Georgia Other 10058822 AMERIGROUP
Georgia MEDICAID G48450 AMERIGROUP
Georgia MEDICAID 000864069E AMERIGROUP

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