Search › South Carolina › 111N00000X
Jerry Odom, D.C
NPI 1154546240 · on the registry since 2007 · sole proprietor
Practice
- Address
- 147 Pendleton St Nw
Aiken, SC 29801 - Phone
- (803) 646-4381
- Organisation at this address
- Physical Performance Solutions Llc
Midlands Prosthetics Adn OrthoticsInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Also registered as
- 111N00000X
- Licence states on file
- IL, SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-08-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina