Individual
JAZZE ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 BUENA VISTA RD, COLUMBUS, GA 31906-3142
(706) 323-7244
Mailing address
2401 BUENA VISTA RD, COLUMBUS, GA 31906
(706) 323-7244
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
0350380366797
MI
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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