Alfred Walter Mazur in Douglas - Urology
Alfred Walter Mazur - NPI 1255311619
Alfred Walter Mazur is a Urology in Douglas, Georgia. Alfred Walter Mazur practices all healthcare services and medical treatments related to Urology. The NPI Number for Alfred Walter Mazur is 1255311619. The last update date is 2023-03-07.
Alfred Walter Mazur's current location address is 200 Doctors Dr, Douglas, Georgia. You can contact this provider via phone number 9123844030 and fax number 9123844039. The mailing address for Alfred Walter Mazur is 200 Doctors Dr, Douglas, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alfred Walter Mazur |
|---|---|
| Address | 200 Doctors Dr, Douglas, Georgia |
| Phone Number | 9123844030 |
| Fax Number | 9123844039 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1255311619 |
|---|---|
| Provider Enumeration Date | 2006-01-20 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 200 Doctors Dr |
|---|---|
| City | Douglas |
| State | Georgia (GA) |
| Post Code | 315332201 |
| Phone Number | 9123844030 |
| Fax Number | 9123844039 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 46695 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11D1105865 | GA | CLIA ID - 17 JOHNSON ST | |
| 46695 | GA | PHYSICIAN LICENSE # | |
| 477420 | GA | WELLCARE | |
| 000833412D | GA | -- | |
| 000833412E | GA | -- | |
| 11D1092458 | GA | CLIA ID - 200 DOCTORS DR STE 2 | |
| DH1281 | GA | RAILROAD MEDICARE - GROUP # | |
| P00726011 | GA | RAILROAD MEDICARE - PTAN |
Post Comment/ Review Below
What is the Alfred Walter Mazur's unique identification number?
The Alfred Walter Mazur has been assigned the NPI (National Provider Identifier) Number 1255311619 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Alfred Walter Mazur is located?
The Alfred Walter Mazur is situated at the following address: 200 Doctors Dr, Douglas, GA, 315332201.
What is Alfred Walter Mazur's specialized field of practice, and what is the corresponding taxonomy classification code?
The Alfred Walter Mazur's area of specialization is Urology, and the corresponding taxonomy code that categorizes this field of practice is 208800000X.
On what date was the 1255311619 assigned to Alfred Walter Mazur?
The Alfred Walter Mazur was issued its 1255311619 on 2006-01-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Alfred Walter Mazur most recently updated or revised?
The information pertaining to Alfred Walter Mazur, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-07.