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Albert E Odom Jr., MD

Obstetrics & Gynecology, Gynecology in Columbia, SC. Individual provider (NPI-1).

NPI number1790737997
StatusActive
Last updated in NPPESApr 4, 2018

Details

NPI
1790737997
Entity type
Individual (NPI-1)
Name
Albert E Odom Jr.
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
May 16, 2006
Last updated
Apr 4, 2018

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - OBSTETRICS/GYNECOLOGY
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VG0400X Obstetrics & Gynecology, Gynecology12029SCYes

Practice location

300 Palmetto Health Pkwy Ste 300
Columbia, SC 29212-1763

Phone 803-907-7300 · Fax 803-907-7309

Mailing address

Po Box 743904
Atlanta, GA 30374-3904

Phone 803-296-7320 · Fax 803-296-7330

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Gynecology Physician providers in Columbia, SC

All 10 Gynecology Physician providers in Columbia · All 14,701 providers in Columbia

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