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Carol M Odegaard, MD
Family Medicine Physician in Jackson, Georgia
NPI 1700876554

Carol M Odegaard is a Family Medicine Physician based in Jackson, GA. Carol M Odegaard practices in Jackson, GA and has the professional credentials of MD. The NPI Number for Carol M Odegaard is 1700876554 and holds a License No. 40495 (Georgia).

The current practice location address for Carol M Odegaard is 261 Brookwood Ave, Jackson, GA and can be reached out via phone at 678-752-0555 and via fax at 678-752-0556.

Location: 261 Brookwood Ave, Jackson, GA, 30233-1460
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700876554
Provider Name
Carol M Odegaard
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
261 Brookwood Ave, Jackson, GA, 30233-1460
Phone Number
678-752-0555
Fax Number
678-752-0556
Provider Enumeration Date
10/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000752166S 05 GA
202I083605 01 GA CMOMDPC IND MCARE #
P00708556 01 GA RAILROAD MEDICARE
000752166U 01 GA CMOMDPC IND MCAID #
institution
Provider Business Practice Location Address Details
Address
261 Brookwood Ave
City
Jackson
State
Georgia
Zip
30233-1460
Phone Number
678-752-0555
Fax Number
678-752-0556
person
Provider Business Mailing Address Details
Address
261 Brookwood Ave
City
Jackson
State
Georgia
Zip
30233-1460
Phone Number
678-752-0555
Fax Number
678-752-0556
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
40495 (Georgia)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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