Individual
DR. CAROLYN ELIZABETH ANNE MAZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1459 LANEY WALKER BLVD, AUGUSTA, GA 30912-5231
(706) 721-3186
Mailing address
600 GRAND OAKS WAY UNIT 127, MARTINEZ, GA 30907-0015
(517) 488-4733
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
17568
GA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/20/2024
Last updated
06/30/2025
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