Mazur, Robert Alexander

Mazur, Robert Alexander is an individual health care provider with primary practice located at 5 Executive Cir , Savannah GA 31406-3345. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Mazur, Robert Alexander can be contacted via phone (912) 691-1533.

Contact Information

Primary practice address
5 Executive Cir Savannah GA 31406-3345
Phone: (912) 691-1533
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 037864 Georgia

Profile Details

NPI number 1649279951
LBN Legal business name Mazur, Robert Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated May 27th, 2008 - about 18 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 1649279951 NPPES
Georgia MEDICAID 415967345F
Georgia MEDICAID 415967345A
Georgia MEDICAID 415967345D
Georgia MEDICAID 415967345E
Georgia MEDICAID 415967345G
Georgia Other 10058807
Georgia MEDICAID G37864
Georgia MEDICAID 415967345C

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