Odom, Harrell
Odom, Harrell is an individual health care provider with primary practice located at 222 22Nd Ave N Ste 400, Nashville TN 37203-1831. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Odom, Harrell can be contacted via phone (615) 329-5144.Contact Information
Primary practice address
222 22Nd Ave N Ste 400
Nashville TN 37203-1831
Phone: (615) 329-5144
Fax: (615) 284-2751
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 18412 | Tennessee |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 18412 | Tennessee |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 18412 | Tennessee |
Profile Details
| NPI number | 1932102001 |
|---|---|
| LBN Legal business name | Odom, Harrell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Apr 18th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932102001 | NPPES |
| Tennessee | MEDICAID | 3074482 |
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