Mantooth, Zachary
Mantooth, Zachary is an individual health care provider with primary practice located at 6439 Garners Ferry Rd , Columbia SC 29209-1638. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Mantooth, Zachary can be contacted via phone (803) 776-4000.Contact Information
Primary practice address
6439 Garners Ferry Rd
Columbia SC 29209-1638
Phone: (803) 776-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 19305 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 19305 | South Carolina |
Profile Details
| NPI number | 1992190573 |
|---|---|
| LBN Legal business name | Mantooth, Zachary |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2015 |
| Last updated | Apr 1st, 2015 - about 11 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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