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Dr. Alfred Walter Mazur, MD
Urology Physician in Douglas, Georgia
NPI 1255311619

Alfred Walter Mazur is a Urology Physician based in Douglas, GA. Alfred Walter Mazur practices in Douglas, GA and has the professional credentials of MD. The NPI Number for Alfred Walter Mazur is 1255311619 and holds a License No. 046695 (Georgia).

The current practice location address for Alfred Walter Mazur is 200 Doctors Dr, Douglas, GA and can be reached out via phone at 912-384-4030 and via fax at 912-384-4039.

Location: 200 Doctors Dr, Douglas, GA, 31534-1377
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255311619
Provider Name
Alfred Walter Mazur
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 Doctors Dr, Douglas, GA, 31534-1377
Phone Number
912-384-4030
Fax Number
912-384-4039
Provider Enumeration Date
01/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11D1105865 01 GA CLIA ID - 17 JOHNSON ST
046695 01 GA PHYSICIAN LICENSE #
477420 01 GA WELLCARE
000833412D 05 GA
000833412E 05 GA
11D1092458 01 GA CLIA ID - 200 DOCTORS DR STE 220
DH1281 01 GA RAILROAD MEDICARE - GROUP #
P00726011 01 GA RAILROAD MEDICARE - PTAN
institution
Provider Business Practice Location Address Details
Address
200 Doctors Dr
City
Douglas
State
Georgia
Zip
31533-2201
Phone Number
912-384-4030
Fax Number
912-384-4039
person
Provider Business Mailing Address Details
Address
200 Doctors Dr
City
Douglas
State
Georgia
Zip
31533-2201
Phone Number
912-384-4030
Fax Number
912-384-4039
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
046695 (Georgia)
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 acquired conditions of the urinary and reproductive systems and their contiguous structures.
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