MITCHELL GRAY ODOM

ANNAPOLIS, MD
NPI1699909283
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD  AC001965)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: NC  5004355)
Enumeration Date2009-05-11
Last Update Date2017-03-09
Business Address
Mr. MITCHELL GRAY ODOM NP
2001 MEDICAL PKWY
ANNAPOLIS, MD 21401-3773
Phone number: 443-481-1000
Mailing Address
Mr. MITCHELL GRAY ODOM NP
2001 MEDICAL PKWY
ANNAPOLIS, MD 21401-3773
Phone number: 443-481-1000