Individual
DR. ALFRED WALTER MAZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
046695
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000833412D
—
GA
05
—
000833412E
—
GA
01
—
046695
PHYSICIAN LICENSE #
GA
01
—
11D1092458
CLIA ID - 200 DOCTORS DR STE 220
GA
01
—
11D1105865
CLIA ID - 17 JOHNSON ST
GA
01
—
477420
WELLCARE
GA
01
—
DH1281
RAILROAD MEDICARE - GROUP #
GA
01
—
P00726011
RAILROAD MEDICARE - PTAN
GA
Enumeration date
01/20/2006
Last updated
03/07/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up