SearchMaryland253Z00000X

Polycarp Odom

NPI 1578111571 · on the registry since 2019 · sole proprietor

Practice

Address
4050 Smiths Landing Ct
Abingdon, MD 21009
Phone
(443) 402-0722

Registry record

Primary taxonomy
253Z00000X
253Z00000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-09-03

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 Maryland