Individual
WILLIAM JOSEPH MAZZELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 GROVE RD FL 5, GREENVILLE, SC 29605-4210
(864) 455-4411
(864) 455-4480
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
311477
LA
207R00000X
Internal Medicine Physician
CV2005119
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
200101093
NC
208M00000X
Hospitalist Physician
200101093
NC
208M00000X
Hospitalist Physician
Primary
35221
SC
208M00000X
Hospitalist Physician
44676
KY
208M00000X
Hospitalist Physician
DR0051332
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900336
—
NC
05
—
7100184720
—
KY
05
—
N0109A
—
SC
Enumeration date
10/13/2006
Last updated
01/31/2023
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