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Sharrell Tonya Odom, NP
Family Nurse Practitioner in Ridgeway, South Carolina
NPI 1033453048

Sharrell Tonya Odom is a Family Nurse Practitioner based in Columbia, SC and is specialized in Family. Sharrell Tonya Odom practices in Ridgeway, SC and has the professional credentials of NP. The NPI Number for Sharrell Tonya Odom is 1033453048 and holds a License No. 18080 (South Carolina).

The current practice location address for Sharrell Tonya Odom is 755 Us Highway 21 S, Ridgeway, SC and can be reached out via phone at 803-337-2920 and via fax at 803-337-3010.

Location: 755 Us Highway 21 S, Ridgeway, SC, 29230-3788
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Provider Profile Details
NPI Number
1033453048
Provider Name
Sharrell Tonya Odom
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
755 Us Highway 21 S, Ridgeway, SC, 29230-3788
Phone Number
803-337-2920
Fax Number
803-337-3010
Provider Enumeration Date
11/15/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP2358 05 SC
institution
Provider Business Practice Location Address Details
Address
755 Us Highway 21 S
City
State
Zip
29130-6844
Phone Number
803-337-2920
Fax Number
803-337-3010
person
Provider Business Mailing Address Details
Address
755 Us Highway 21 S
City
State
Zip
29130-6844
Phone Number
803-337-2920
Fax Number
803-337-3010
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
18080 (South Carolina)
Definition
Definition to come...
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