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Contact Information

EMILEE ODOM, PA-C
9601 BAPTIST HEALTH DR STE 860
LITTLE ROCK, AR72205
 Phone: 501-975-7455
 Fax: 501-975-3631
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for EMILEE ODOM · (Female)

NPI Number 1417306580
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/08/2016
Last updated 05/06/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • AR License # PA-716
  • AR Medicaid 218864795
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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