Mazza, Thomas Michael

Mazza, Thomas Michael is an individual health care provider with primary practice located at 146 E Hospital Dr Ste 400 , West Columbia SC 29169-4800. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Mazza, Thomas Michael can be contacted via phone (803) 936-3300.

Contact Information

Primary practice address
146 E Hospital Dr Ste 400 West Columbia SC 29169-4800
Phone: (803) 936-3300
Fax: (803) 936-7735
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 88915 South Carolina
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 88915 South Carolina

Profile Details

NPI number 1962426684
LBN Legal business name Mazza, Thomas Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jan 12th, 2024 - about 10 months 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 1962426684 NPPES
Pennsylvania MEDICAID 102523864

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