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Contact Information

NICOLAS J MAZAL, MD
1241 WOODLAND AVE
MOUNT PLEASANT, SC29464-3288
 Phone: 843-824-0606
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for NICOLAS J MAZAL · (Male)

NPI Number 1659637569
Status Active
Credentials MD
Entity Individual
Enumeration date 04/04/2012
Last updated 01/16/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 29073
  • SC License # 40730
Hospital affiliation(s)
  • COLLETON MEDICAL CENTER - (Acute Care)
    501 ROBERTSON BOULEVARD
    WALTERBORO, SC 29488
  • TRIDENT MEDICAL CENTER - (Acute Care)
    9330 MEDICAL PLAZA DR
    CHARLESTON, SC 29406
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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