Mayeaux, Jr.,, Edward J

Mayeaux, Jr.,, Edward J is an individual health care provider with primary practice located at 145 Sunset Ct Ste 100 , West Columbia SC 29169-2429. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mayeaux, Jr.,, Edward J can be contacted via phone (803) 739-3550.

Contact Information

Primary practice address
145 Sunset Ct Ste 100 West Columbia SC 29169-2429
Phone: (803) 739-3550
Fax: (803) 739-3546
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35653 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 019451 Louisiana

Profile Details

NPI number 1356368880
LBN Legal business name Mayeaux, Jr.,, Edward J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jan 16th, 2024 - about 2 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 1356368880 NPPES
Louisiana MEDICAID 1901156
Louisiana MEDICAID 356536

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