Mazo, Ruth Ann

Mazo, Ruth Ann is an individual health care provider with primary practice located at 230 E Derenne Ave , Savannah GA 31405-6736. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Mazo, Ruth Ann can be contacted via phone (912) 790-4068.

Contact Information

Primary practice address
230 E Derenne Ave Savannah GA 31405-6736
Fax: (912) 790-4407
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 065481 Georgia

Profile Details

NPI number 1568638666
LBN Legal business name Mazo, Ruth Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2008
Last updated Apr 20th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568638666 NPPES
Georgia MEDICAID 003107870A

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