Aden, Mariah Montana

Aden, Mariah Montana is an individual health care provider with primary practice located at 1033 Edgefield St , Greenwood SC 29646-3205. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Aden, Mariah Montana can be contacted via phone (864) 227-3908.

Contact Information

Primary practice address
1033 Edgefield St Greenwood SC 29646-3205
Phone: (864) 227-3908
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3338 South Carolina

Profile Details

NPI number 1073161485
LBN Legal business name Aden, Mariah Montana
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2019
Last updated Aug 30th, 2023 - about 3 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 1073161485 NPPES
South Carolina Other 3335 MEDICARE
South Carolina MEDICAID 421504 MEDICARE

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