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:
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Health care specialties

SpecialtyCodeLicense #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 17 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 1932102001 NPPES
Tennessee MEDICAID 3074482

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