Angela Odom, is a
Massage Therapist based in Graniteville, South Carolina. Angela Odom is licensed to practice in South Carolina (license number 5656) and her current practice location is
195 Fioli Cir, Graniteville, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(803) 640-7708.
NPI number for Angela Odom is 1750831707 and her current mailing address is 195 Fioli Cir, Graniteville, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750831707.
Healthcare Provider's Profile
Full Name | Angela Odom |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 195 Fioli Cir, Graniteville, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1750831707
- Provider Enumeration Date: 10/13/2016
- Last Update Date: 10/13/2016
Medical Identifiers
Medical identifiers for Angela Odom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750831707 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 5656 (South Carolina) | Primary |
225700000X | Massage Therapist | MT005041 (Georgia) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angela Odom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Angela Odom, 195 Fioli Cir, Graniteville, SC 29829-3991 Ph: (803) 640-7708 | Angela Odom, 195 Fioli Cir, Graniteville, SC 29829-3991 Ph: (803) 640-7708 |
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