Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CAROL M ODEGAARD, M.D.
ActiveCAROL M ODEGAARD, M.D. is a Family Medicine healthcare provider located in JACKSON, Georgia. NPI 1700876554 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · JACKSON, GA
Registration Details
- NPI Number
- 1700876554
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 24, 2005 (20.623901412168 yrs)
- Last Updated
- May 7, 2019
- License
-
40495 (GA)
Practice Information
- Address
-
261 BROOKWOOD AVEJACKSON, GA, 302331460Browse GA providers · Browse ZIP 30233
- Phone
- 6787520555
- Fax
- 6787520556
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in JACKSON, GA
| Name | Credential | NPI |
|---|---|---|
| JORGE LUIS MORENO JR. | M.D. | 1518914597 |
| BENNIE R. WHITE JR. | MD | 1376575225 |
| ALETA MARIA GARDNER | M.D. | 1750575130 |
| DR. LATORA WILLIAMS | MD | 1982166757 |
| NICOLE PRITCHETT JIMERSON | DO | 1891372298 |
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.