NPI | 1114162476 |
---|---|
Doing Business As | DR. ANGELA ODOM AUSTIN |
Entity Type | Organization |
Authorized Contact | ANGELA DENISE ODOM AUSTIN Physician 757-247-1111 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2008-12-15 |
Last Update Date | 2012-10-03 |