Susan G. Mazo
Pediatrician Pediatric Infectious Diseases
4700 Waters Ave
Savannah
, Georgia 31404
Susan G. Mazo
Pediatrician Pediatric Infectious Diseases
4700 Waters Ave
Savannah
, Georgia 31404
(912) 350-5697
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About
Features
Specialties
- Pediatrician
- Pediatric Infectious Diseases
Languages spoken
- English
Location
First Address
- Susan G. Mazo
- 4700 Waters Ave
- Savannah, GA
- Zip : 31404-6220
- Fax : (912) 350-5697
- Phone : (912) 350-8180
Second Address
- Susan G. Mazo
- 4700 Waters Ave
- Savannah, GA
- Zip : 31404
- Fax : (912) 350-7221
- Phone : (912) 350-8016
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Is Susan G. Mazo a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 028044 | GA |
| Y | 2080P0208X | Pediatric Infectious Diseases | 028044 | GA |
National Provider Identifier
| NPI | 1336176981 |
|---|---|
| Provider Name | Susan G. Mazo |
| First Address | Savannah, GA 31404-6220 |
| Second Address | Savannah, GA 31404 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2006 |
| Last Update Date | 08/08/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000325091B | (05) | GA |
| F96486 | (02) | |
| G28044 | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.