GLYNN WHIDDON ODOM

FORT PAYNE, AL
NPI1447275490
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1-020588)
Enumeration Date2006-07-12
Last Update Date2007-07-08
Business Address
-- GLYNN WHIDDON ODOM CRNA
200 MEDICAL CENTER DRIVE
FORT PAYNE, AL 35967
Phone number: 256-845-3150
Mailing Address
-- GLYNN WHIDDON ODOM CRNA
PO BOX 680045
FORT PAYNE, AL 35968-1601
Phone number: 256-635-0991
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