SAMUEL KEVIN ODUM

DOUGLASVILLE, GA
NPI1851136147
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  PT017179)
Enumeration Date2024-06-27
Last Update Date2024-06-27
Business Address
SAMUEL KEVIN ODUM DPT
2983 CHAPEL HILL RD STE 106
DOUGLASVILLE, GA 30135-1767
Phone number: 770-947-8177
Mailing Address
SAMUEL KEVIN ODUM DPT
2000 MIRROR LAKE BLVD STE S
VILLA RICA, GA 30180-2126
Phone number: 770-456-7877
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