Jonathan Larry Odom
Jonathan Larry Odom is a Physician Assistant in Mobile, Alabama. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
7650 Cameron CtMobile, AL 36695-4463
Phone: (251) 422-7199
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1497619282 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 15, 2025 |
| Last updated in NPPES | December 15, 2025 |
| Certification date | December 15, 2025 |
| Mailing address | 7650 Cameron Ct, Mobile, AL 36695-4463 |
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