Jazzmine C Basham, DO

NPI #1114451051 in Trenton, Georgia

Provider Information

NPI Number
1114451051
Entity Type
Individual
Name
Jazzmine C Basham, DO
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Student in an Organized Health Care Education/Training Program
Credential
DO
Enumeration Date
Apr 18, 2017
Last Updated
Jan 7, 2022

Practice Location

Address
13570 N MAIN ST
State
Georgia
ZIP Code
30752-2012
Phone
(706) 956-2665

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Family Medicine

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