Search › Georgia › 363LW0102X
Jhaelyn Odom, N.P
NPI 1104210194 · on the registry since 2015 · sole proprietor
Practice
- Address
- 2891 Lakewood Ave Sw
Atlanta, GA 30315 - Phone
- (678) 927-9996
- Fax
- (678) 390-9775
- Organisation at this address
- Lakewood Medical
Prime Intergrative Healthcare IncInferred from a shared address, not stated in the registry.
Additional practice sites
- 5925 San Juan Dr, Baton Rouge, LA
Registry record
- Primary taxonomy
- 363LW0102X
363LW0102X
- Also registered as
- 163W00000X
363L00000X
363LW0102X
163W00000X - Licence states on file
- GA, LA, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia