NPI 1083028849

Susan Odom, RN

Practitioner Maternal & Fetal Medicine Physician Greensboro, NC

Practice location

Address: 1100 E Wendover Ave, Greensboro, NC 27405-6713
Phone: (336) 641-4135
Mailing address: 4007 Hazel Ln, Greensboro, NC 27408-3191

Registered specialties

Maternal & Fetal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207VM0101X Licence 248328 (NC)

Other Obstetrics & Gynecology providers in North Carolina →

Registry record

NPI: 1083028849
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jun 2014
Record last updated: 19 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.