Mazza, Pamela B

Mazza, Pamela B is an individual health care provider with primary practice located at 109 Bee St , Charleston SC 29401-5703. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Mazza, Pamela B can be contacted via phone (843) 789-7025.

Contact Information

Primary practice address
109 Bee St Charleston SC 29401-5703
Phone: (843) 789-7025
Fax: (843) 789-6109
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X APN712 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 712 South Carolina

Profile Details

NPI number 1417904301
LBN Legal business name Mazza, Pamela B
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Dec 29th, 2016 - about 9 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 1417904301 NPPES
South Carolina Other P00648613 RAILROAD MEDICARE #
South Carolina MEDICAID NP0749 RAILROAD MEDICARE #

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