Individual
DR. DEAN ALBERT MUSCARELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, PA-C
Contact information
Practice address
793 E BUTLER RD, MAULDIN, SC 29662-3223
(864) 720-1442
(864) 720-1443
Mailing address
PO BOX 749306, ATLANTA, GA 30374-9306
(864) 720-1442
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC007082L
PA
363A00000X
Physician Assistant
Primary
2301
SC
363AS0400X
Surgical Physician Assistant
MA056731
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017616080003
—
PA
01
—
037763
BLUE CROSS BLUE SHIELD
PA
05
—
2226PA
—
SC
01
—
251864370
ALL OTHER INSURANCE CO.
PA
01
—
311605
UPMC
PA
01
—
SC06082
MEDICARE
SC
Enumeration date
02/06/2006
Last updated
11/03/2024
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