Wasson, Marian Jane

Wasson, Marian Jane is an sole proprietor health care provider with primary practice located at 1307 N Logan St , Gaffney SC 29341-2026. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wasson, Marian Jane can be contacted via phone (864) 488-1333.

Contact Information

Primary practice address
1307 N Logan St Gaffney SC 29341-2026
Fax: (864) 488-3004
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 8880 South Carolina

Profile Details

NPI number 1881665685
LBN Legal business name Wasson, Marian Jane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2006
Last updated Mar 3rd, 2020 - about 5 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 1881665685 NPPES
South Carolina Other 32354 MEDCOST
South Carolina MEDICAID 88808 MEDCOST
South Carolina Other 4545148 MEDCOST
South Carolina MEDICAID 890581C MEDCOST

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