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Cormac Odonovan, MD
Clinical Neurophysiology Physician in Winston Salem, North Carolina
NPI 1366428443

Cormac Odonovan is a Clinical Neurophysiology Physician based in Winston Salem, NC and is specialized in Clinical Neurophysiology. Cormac Odonovan practices in Winston Salem, NC and has the professional credentials of MD. The NPI Number for Cormac Odonovan is 1366428443 and holds a License No. 9500678 (North Carolina).

The current practice location address for Cormac Odonovan is Medical Center Blvd, Winston Salem, NC and can be reached out via phone at 336-716-2255 and via fax at 336-716-9016.

Location: Medical Center Blvd, Winston Salem, NC, 27102-0344
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366428443
Provider Name
Cormac Odonovan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Medical Center Blvd, Winston Salem, NC, 27102-0344
Phone Number
336-716-2255
Fax Number
336-716-9016
Provider Enumeration Date
12/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q00670 05 SC
6100368 05 VA
5249360 01 AETNA
63701 01 NC BCBS
11387 01 NC PARTNERS
3002234000 05 WV
64148 01 NC MEDCOST
8963701 05 NC
institution
Provider Business Practice Location Address Details
Address
Medical Center Blvd
City
Winston Salem
State
North Carolina
Zip
27157-0001
Phone Number
336-716-2255
Fax Number
336-716-9016
person
Provider Business Mailing Address Details
Address
Medical Center Blvd
City
Winston Salem
State
North Carolina
Zip
27157-0001
Phone Number
336-716-2255
Fax Number
336-716-9016
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
9500678 (North Carolina)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Clinical Neurophysiology
Taxonomy
2084N0600X
License No.
9500678 (North Carolina)
Definition
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
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