Mazo, Susan G.

Mazo, Susan G. is an individual health care provider with primary practice located at 4700 Waters Ave , Savannah GA 31404. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is her primary health care specialty. Mazo, Susan G. can be contacted via phone (912) 350-8016.

Contact Information

Primary practice address
4700 Waters Ave Savannah GA 31404
Phone: (912) 350-8016
Fax: (912) 350-7221
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 028044 Georgia
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 028044 Georgia

Profile Details

NPI number 1336176981
LBN Legal business name Mazo, Susan G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Aug 8th, 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 1336176981 NPPES
Georgia MEDICAID 000325091B
Georgia MEDICAID G28044

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