Individual
JOHN JAY MAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
701 GROVE RD STE 200, GREENVILLE, SC 29605-4210
(864) 455-6968
(864) 455-8981
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
20A17626
CA
2084P0800X
Psychiatry Physician
Primary
83807
SC
390200000X
Student in an Organized Health Care Education/Training Program
20A17626
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
838072
—
SC
Enumeration date
04/04/2018
Last updated
04/24/2025
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