MEDICARE: JAMES J MAZUR DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	276	NC
2	213ES0131X	Foot Surgery Podiatrist	276	NC
3	213EP1101X	Primary Podiatric Medicine Podiatrist	276	NC

General Provider Information

NPI Number	:	1649275843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES J MAZUR DPM

Provider Business Mailing Address
First Line	:	322 MOCKSVILLE AVE
Second Line	:
City	:	SALISBURY
State	:	NC
Zip	:	28144-3328
Country	:	US
Telephone Number	:	704-638-3238
Fax Number	:

Provider Business Practice Location Address
First Line	:	322 MOCKSVILLE AVE
Second Line	:
City	:	SALISBURY
State	:	NC
Zip	:	28144-3328
Country	:	US
Telephone Number	:	704-636-7015
Fax Number	:	704-636-9788

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	06/17/2022

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Directions to “ JAMES J MAZUR DPM” Practice Location

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