Shauna M Mazique, DC | |
498 Wando Park Blvd Ste 1150, Mt Pleasant, SC 29464-7971 | |
(843) 940-5166 | |
Not Available |
Full Name | Shauna M Mazique |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 498 Wando Park Blvd Ste 1150, Mt Pleasant, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609845841 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 3042 (South Carolina) | Primary |
Provider Name | Healing Hands Wellness Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1023380318 PECOS PAC ID: 1153587738 Enrollment ID: O20120726000092 |
Mailing Address | Practice Location Address |
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Shauna M Mazique, DC 498 Wando Park Blvd Ste 1150, Mt Pleasant, SC 29464-7971 Ph: (843) 940-5166 | Shauna M Mazique, DC 498 Wando Park Blvd Ste 1150, Mt Pleasant, SC 29464-7971 Ph: (843) 940-5166 |
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