Individual
PAUL MAZZEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1833 N. PARIS AVENUE, PORT ROYAL, SC 29935-2029
(843) 522-1420
(843) 522-1460
Mailing address
1833 N. PARIS AVENUE, PORT ROYAL, SC 29935-2029
(843) 522-1420
(843) 522-1460
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
17802
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178024
—
SC
Enumeration date
01/25/2006
Last updated
10/13/2010
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