Individual
DR. RUTH ANN MAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
230 E DERENNE AVE, SAVANNAH, GA 31405-6736
(912) 790-4068
(912) 790-4407
Mailing address
PO BOX 14459, SAVANNAH, GA 31416-1459
(912) 790-4000
(912) 790-4407
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
065481
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003107870A
—
GA
Enumeration date
05/08/2008
Last updated
04/20/2018
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