Dr Brittany Kalisse Odom, MD | |
63 Medical Center Dr, West Point, MS 39773-0430 | |
(662) 494-1620 | |
(662) 494-0375 |
Full Name | Dr Brittany Kalisse Odom |
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Gender | Female |
Speciality | Pediatrics |
Location | 63 Medical Center Dr, West Point, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972965689 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036-152382 (Illinois) | Secondary |
208000000X | Pediatrics | MD2022-0892 (New Mexico) | Secondary |
208000000X | Pediatrics | 33590 (Mississippi) | Primary |
Entity Name | La Clinica De Familia, Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528424397 PECOS PAC ID: 6305745191 Enrollment ID: O20031231000076 |
Mailing Address | Practice Location Address |
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Dr Brittany Kalisse Odom, MD 63 Medical Center Dr, West Point, MS 39773-0430 Ph: (662) 494-1620 | Dr Brittany Kalisse Odom, MD 63 Medical Center Dr, West Point, MS 39773-0430 Ph: (662) 494-1620 |
Dr. Charles David Hill, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 720 Medical Center Dr, West Point, MS 39773 Phone: 662-494-1620 Fax: 662-494-0375 | |
Byron Watson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 720 Medical Center Dr, West Point, MS 39773 Phone: 662-494-1620 Fax: 662-494-0375 |