Masavage, Marlena Mattingly

Masavage, Marlena Mattingly is an individual health care provider with primary practice located at Beaufort Memorial Obstetrics & Gynecology Specialists 989 Ribaut Rd., Ste 210, Beaufort SC 29902-5472. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Masavage, Marlena Mattingly can be contacted via phone (843) 522-7820.

Contact Information

Primary practice address
Beaufort Memorial Obstetrics & Gynecology Specialists 989 Ribaut Rd., Ste 210 Beaufort SC 29902-5472
Phone: (843) 522-7820
Fax: (843) 522-7821
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 38179 South Carolina
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 11015972A Indiana

Profile Details

NPI number 1023304847
LBN Legal business name Masavage, Marlena Mattingly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2011
Last updated Sep 24th, 2018 - about 8 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 1023304847 NPPES
South Carolina Other 38179 STATE MEDICAL LICENSE BOARD

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