| Sharrell Tonya Odom, NP | |
|
755 Us Highway 21 S, Ridgeway, SC 29130-6844 | |
| (803) 337-2920 | |
| (803) 337-3010 |
| Full Name | Sharrell Tonya Odom |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 755 Us Highway 21 S, Ridgeway, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033453048 | NPI | - | NPPES |
| NP2358 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 18080 (South Carolina) | Primary |
| Entity Name | Eau Claire Cooperative Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346249430 PECOS PAC ID: 3274434220 Enrollment ID: O20040114000335 |
| Entity Name | Minuteclinic Diagnostic South Carolina Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447420815 PECOS PAC ID: 8527126861 Enrollment ID: O20081015000409 |
| Mailing Address | Practice Location Address |
|---|---|
| Sharrell Tonya Odom, NP Po Box 3788, Columbia, SC 29230-3788 Ph: (803) 733-5969 | Sharrell Tonya Odom, NP 755 Us Highway 21 S, Ridgeway, SC 29130-6844 Ph: (803) 337-2920 |
Jessica Marie Hellman, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 213 Tanglewood Ct, Ridgeway, SC 29130 Phone: 803-337-3211 | |
Mrs. Addrienne Faith Robinson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 213 Tanglewood Ct, Ridgeway, SC 29130 Phone: 803-337-3211 | |
Angela Evans-morales, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 755 Us Highway 21 S, Ridgeway, SC 29130 Phone: 803-337-2920 Fax: 803-337-3010 |