DR. LAWRENCE DUDLEY ODOM MD NPI 1790889095

NPI Information

  • NPI: 1790889095
  • Provider Name: DR. LAWRENCE DUDLEY ODOM, MD
  • Classification: Obstetrics & Gynecology - 207VE0102X
  • Specialization: Reproductive Endocrinology
  • Entity Type: Individual
  • Address: 5354 REYNOLDS ST
    STE 333
    SAVANNAH, GA
    ZIP 31405
  • Phone: (912) 354-8558

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NPI Details

DR. Lawrence Dudley Odom, MD is a reproductive endocrinology obstetrics gynecology in Savannah, GA. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. DR. Lawrence Dudley Odom, MD NPI is 1790889095. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5354 REYNOLDS ST
STE 333
SAVANNAH, GA
ZIP 31405
Phone: (912) 354-8558
Fax: (912) 354-5827

The enumeration date for this NPI number is 9/8/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VE0102XObstetrics & GynecologyReproductive Endocrinology17016GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D30375MEDICARE UPIN
2D00149553EMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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