BRADLEY WAYNE ODOM

CONWAY, SC
NPI1720826001
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy237700000X Hearing Instrument Specialist
(Licence: SC  HAS-0428)
Additional Taxonomies237700000X Hearing Instrument Specialist
(Licence: NC  902)
Enumeration Date2024-07-19
Last Update Date2024-07-19
Business Address
Mr. BRADLEY WAYNE ODOM BS-HIS
402 SINGLETON RIDGE ROAD
CONWAY, SC 29526
Phone number: 843-347-3005
Mailing Address
Mr. BRADLEY WAYNE ODOM BS-HIS
1930 RIVERSIDE DRIVE
CONWAY, SC 29526-8008
Phone number: 843-349-3005
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