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Contact Information

CYNTHIA C ODOM, CNM, FNP
920 MATTHEW DR
WAYNESBORO, MS39367-2553
 Phone: 601-735-2401
 Fax: 601-735-5205
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CYNTHIA C ODOM · (Female)

NPI Number 1093798266
Status Active
Credentials CNM, FNP
Entity Individual
Enumeration date 11/22/2005
Last updated 04/24/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MS License # R748528
  • AL Medicaid 569900143
  • MS Medicaid 00116409
  • AL Other 730-19137 BCBS OF AL
Hospital affiliation(s)
  • WAYNE GENERAL HOSPITAL - (Acute Care)
    950 MATTHEW DR
    WAYNESBORO, MS 39367
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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