Odell, Timothy Shawn

Odell, Timothy Shawn is an individual health care provider with primary practice located at 1075 Boiling Springs Rd , Spartanburg SC 29303-2248. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Odell, Timothy Shawn can be contacted via phone (864) 583-7265.

Contact Information

Primary practice address
1075 Boiling Springs Rd Spartanburg SC 29303-2248
Phone: (864) 583-7265
Fax: (864) 591-0422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X A777NS South Carolina

Profile Details

NPI number 1104890870
LBN Legal business name Odell, Timothy Shawn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Mar 24th, 2016 - about 10 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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