JAZZE ODOM

COLUMBUS, GA
NPI1518389220
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: MI  0350380366797)
Enumeration Date2014-01-15
Last Update Date2014-01-15
Business Address
-- JAZZE ODOM
2401 BUENA VISTA RD
COLUMBUS, GA 31906-3142
Phone number: 706-323-7244
Mailing Address
-- JAZZE ODOM
2401 BUENA VISTA RD
COLUMBUS, GA 31906
Phone number: 706-323-7244