Dr. Clayton Gregory Mazoue, M.D.
Family Medicine in Columbia, SC. Individual provider (NPI-1).
NPI number1982808762
StatusActive
Last updated in NPPESMar 21, 2025
Details
- NPI
- 1982808762
- Entity type
- Individual (NPI-1)
- Name
- Dr. Clayton Gregory Mazoue
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 13, 2007
- Certification date
- Mar 21, 2025
- Last updated
- Mar 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 93192 | SC | Yes |
| 207Q00000X | Family Medicine | md.200841 | LA |
Practice location
7035 Saint Andrews RdColumbia, SC 29212-1177
Phone 803-749-0924
Mailing address
Po Box 6069West Columbia, SC 29171-6069
Phone 803-791-2203
Other practice locations
708 W Esplanade Ave
Kenner, LA 70065-2736
Kenner, LA 70065-2736
Phone 504-503-5100 · Fax 504-503-5101
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