Individual
CZO'XIAZ COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MMP
Contact information
Practice address
5833 BUNCHE ST, COLUMBUS, GA 31907-5331
(706) 887-8701
Mailing address
5833 BUNCHE ST, COLUMBUS, GA 31907-5331
(706) 887-8701
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
010482
GA
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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