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Matthew Odom, ATC, LAT

Specialist/Technologist, Athletic Trainer in Chapel Hill, NC. Individual provider (NPI-1).

NPI number1609986173
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1609986173
Entity type
Individual (NPI-1)
Name
Matthew Odom
Credential
ATC, LAT
Sex
Male
Sole proprietor
No
Enumeration date
Aug 30, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer1149NCYes

Practice location

James A Taylor Campus Health Services Building
Cb# 7470
Chapel Hill, NC 27599-7470

Phone 919-966-3655

Mailing address

100 Saunders
Apt. 204
Chapel Hill, NC 27517-7374

Phone 919-622-7226

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