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Dr. Travis Lee Odom, MD

Pediatrics, Pediatric Critical Care Medicine in Norfolk, VA. Individual provider (NPI-1).

NPI number1477050573
StatusActive
Last updated in NPPESSep 24, 2024

Details

NPI
1477050573
Entity type
Individual (NPI-1)
Name
Dr. Travis Lee Odom
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 6, 2018
Certification date
Sep 24, 2024
Last updated
Sep 24, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0203X Pediatrics, Pediatric Critical Care Medicine0101281971VAYes

Practice location

Po Box 11049
Norfolk, VA 23517-0049

Phone 757-668-7871 · Fax 757-668-8658

Mailing address

2100 Stantonsburg Rd
Greenville, NC 27834-2818

Phone 252-744-2335 · Fax 252-744-3811

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