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Contact Information

CONSTANCE R TAMBAKIS ODOM, MD
401 NORTH MAIN STREET
KENANSVILLE, NC28349
 Phone: 910-296-2738
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for CONSTANCE R TAMBAKIS ODOM · (Female)

NPI Number 1093724189
Status Active
Credentials MD
Entity Individual
Enumeration date 08/07/2006
Last updated 10/19/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 01414
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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