Individual
MARIAH MONTANA ADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1033 EDGEFIELD ST, GREENWOOD, SC 29646-3205
(864) 227-3908
Mailing address
1033 EDGEFIELD ST, GREENWOOD, SC 29646-3205
(864) 227-3908
(864) 227-2668
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3338
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3335
MEDICARE
SC
05
—
421504
—
SC
Enumeration date
08/28/2019
Last updated
08/30/2023
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