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Summer Lorraine Odom, FNP-C
Family Nurse Practitioner in De Soto, Georgia
NPI 1437605300

Summer Lorraine Odom is a Family Nurse Practitioner based in Albany, GA and is specialized in Family. Summer Lorraine Odom practices in De Soto, GA and has the professional credentials of FNP-C. The NPI Number for Summer Lorraine Odom is 1437605300 and holds a License No. RN204070 (Georgia).

The current practice location address for Summer Lorraine Odom is 140 Gray Moss Rd, De Soto, GA and can be reached out via phone at 229-869-5483.

Location: 140 Gray Moss Rd, De Soto, GA, 31707-2267
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437605300
Provider Name
Summer Lorraine Odom
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
140 Gray Moss Rd, De Soto, GA, 31707-2267
Phone Number
229-869-5483
Fax Number
Provider Enumeration Date
08/30/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
140 Gray Moss Rd
City
De Soto
State
Georgia
Zip
31743-2218
Phone Number
229-869-5483
Fax Number
person
Provider Business Mailing Address Details
Address
140 Gray Moss Rd
City
De Soto
State
Georgia
Zip
31743-2218
Phone Number
229-869-5483
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN204070 (Georgia)
Definition
Definition to come...
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