BENJAMIN ODOM

VESTAVIA, AL
NPI1639705767
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1-142308)
Enumeration Date2020-03-20
Last Update Date2020-03-20
Business Address
BENJAMIN ODOM CRNA
3104 BLUE LAKE DR STE 110
VESTAVIA, AL 35243-2372
Phone number: 205-977-1949
Mailing Address
BENJAMIN ODOM CRNA
406 N ELM ST
MOUNT PLEASANT, TN 38474-1217
Phone number: 205-441-2996
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