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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JERRY DEANIE ODOM SR., D.C.

Active Sole Proprietor

DR. JERRY DEANIE ODOM SR., D.C. is a Chiropractor healthcare provider located in AIKEN, South Carolina. NPI 1154546240 is currently active in the NPPES registry. Verify at CMS.

Chiropractor · AIKEN, SC

Registration Details

NPI Number
1154546240
Provider Type
Individual
Gender
Male
NPI Issued
Apr 16, 2007 (19.309887975871 yrs)
Last Updated
Aug 26, 2010
Licenses
038-010666 (IL)
3522 (SC)
Sole Proprietor
Yes

Practice Information

Address
147 PENDLETON ST NW
AIKEN, SC, 298013859
Browse SC providers · Browse ZIP 29801
Phone
8036464381
Primary Specialty
Chiropractor
111N00000X
Additional Specialty
Chiropractor

Other Chiropractor Providers in AIKEN, SC

Name Credential NPI
DEJAN DJOLIC DC 1336141597
KIMBERLY LEWIS DC 1366446932
DR. JULIE A JORDAN DC 1982686895
BRENT D. STEWART D.C. 1104808815
DR. SHANE D STEWART D.C. 1154396299
DR. ANTONY HENDERSON KYLES D.C. 1164491049
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.