Search › South Carolina › 363L00000X
Alice Mazzella
NPI 1023452992 · on the registry since 2013
Practice
- Address
- 9304 Medical Plaza Dr Ste D
Charleston, SC 29406 - Phone
- (843) 863-5600
- Fax
- (843) 553-2123
- Organisation at this address
- Trident Vision Center Inc
Ophthalmology Associates Of CharlestonInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LA2200X
363LA2200X - Licence states on file
- SC, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-01-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina