Individual
DR. WALTER ROBERT MAZZEI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8 RICHLAND MEDICAL PARK DR, SUITE 300, COLUMBIA, SC 29203-8005
(803) 256-6511
(803) 744-4731
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
33468
SC
207RC0000X
Cardiovascular Disease Physician
33468
SC
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
33468
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
334686
—
SC
Enumeration date
09/22/2009
Last updated
10/02/2019
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