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Individual

SUSAN G. MAZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4700 WATERS AVE, SAVANNAH, GA 31404
(912) 350-8016
(912) 350-7221
Mailing address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-8180
(912) 350-5697

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
028044
GA
2080P0208X
Pediatric Infectious Diseases Physician
Primary
028044
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000325091B
GA
05
G28044
SC
Enumeration date
06/27/2006
Last updated
08/08/2018
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