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Contact Information

JASON B ODELL, MD
1005 E CHEVES ST
FLORENCE, SC29506-2707
 Phone: 843-777-7900
 Fax: 843-777-7102
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JASON B ODELL · (Male)

NPI Number 1174733125
Status Active
Credentials MD
Entity Individual
Enumeration date 05/22/2007
Last updated 02/15/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME103720
  • SC License # 27197
  • FL Medicaid 00052500
  • LA Medicaid 21464
  • SC Medicaid 271976
  • FL Other 9234356 AETNA
  • FL Other 329791 AVMED
  • FL Other 23163 BCBS
  • FL Other 9250826 CIGNA
Hospital affiliation(s)
  • CAROLINAS HOSPITAL SYSTEM - (Acute Care)
    805 PAMPLICO HWY BOX 100550
    FLORENCE, SC 29505
  • MCLEOD REGIONAL MEDICAL CENTER-PEE DEE - (Acute Care)
    555 E CHEVES ST BOX 8700
    FLORENCE, SC 29506
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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