Odom, Laura Graddick

Odom, Laura Graddick is an individual health care provider with primary practice located at 1109 Wilson St , Newberry SC 29108-3443. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Odom, Laura Graddick can be contacted via phone (803) 321-3035.

Contact Information

Primary practice address
1109 Wilson St Newberry SC 29108-3443
Phone: (803) 321-3035
Fax: (803) 321-3034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4256 South Carolina

Profile Details

NPI number 1629385463
LBN Legal business name Odom, Laura Graddick
Credentials APRN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2010
Last updated Jan 1st, 2014 - about 12 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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