| Dr Jerry Deanie Odom Sr, DC | |
|
147 Pendleton St Nw, Aiken, SC 29801-3859 | |
| (803) 646-4381 | |
| Not Available |
| Full Name | Dr Jerry Deanie Odom Sr |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 147 Pendleton St Nw, Aiken, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154546240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038-010666 (Illinois) | Secondary |
| 111N00000X | Chiropractor | 3522 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jerry Deanie Odom Sr, DC 147 Pendleton St Nw, Aiken, SC 29801-3859 Ph: (803) 646-4381 | Dr Jerry Deanie Odom Sr, DC 147 Pendleton St Nw, Aiken, SC 29801-3859 Ph: (803) 646-4381 |
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