Individual
DR. MARIAN JANE WASSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1307 N LOGAN ST, GAFFNEY, SC 29341-2026
(864) 488-1333
(864) 488-3004
Mailing address
1307 N LOGAN ST, GAFFNEY, SC 29341-2026
(864) 488-1333
(864) 488-3004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8880
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32354
MEDCOST
SC
01
—
4545148
AETNA
SC
05
—
88808
—
SC
05
—
890581C
—
NC
Enumeration date
01/30/2006
Last updated
03/03/2020
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