Mazoue, Christopher George
Mazoue, Christopher George is an individual health care provider with primary practice located at 2 Medical Park Rd Suite 404, Columbia SC 29203-6808. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Mazoue, Christopher George can be contacted via phone (803) 434-6812.Contact Information
Primary practice address
2 Medical Park Rd Suite 404
Columbia SC 29203-6808
Phone: (803) 434-6812
Fax: (803) 434-7306
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 24044 | South Carolina |
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 24044 | South Carolina |
Profile Details
NPI number | 1366406837 |
---|---|
LBN Legal business name | Mazoue, Christopher George |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 13th, 2006 |
Last updated | Mar 6th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366406837 | NPPES |
South Carolina | MEDICAID | T81818 | |
South Carolina | Other | 0534520001 |
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