DR. JACQUELINE DELOACHE MOUZON (NPI# 1134111222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134111222 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE DELOACHE MOUZON |
| Credential | M.D. |
| Practice Address |
398 College Ave Clemson SC 29631-1432 |
| Practice Telephone | 8646534112 |
| Practice Fax Number | 8646534129 |
| Mailing Telephone | 8646534112 |
| Mailing Fax Number | 8646534129 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2008-09-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 23781 | SC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 237817 | 05 |
| Street Address |
398 COLLEGE AVE |
| City | CLEMSON |
| State | SC |
| Zip Code | 29631-1432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285984807 | Nadine Grissett Mccallum | Psychologist | 398 College Ave, Clemson, SC 29631 | 2012-09-11 |
| 1235410473 | Clemson Psychiatry, Inc. | Exclusive Provider Organization | 398 College Ave, Clemson, SC 29631-1432 | 2011-09-01 |
| 1962721944 | Raul Paez, P.C. | Psychiatry & Neurology | 398 College Ave, Clemson, SC 29631-1432 | 2010-05-29 |
| 1942440896 | George R. Rhodes | Counselor | 398 College Ave, Clemson, SC 29631-1432 | 2009-03-04 |
| 1568622165 | Behavior Consulting Services, LLC | Early Intervention Provider Agency | 398 College Ave, Clemson, SC 29631-1432 | 2008-06-17 |
| 1932369642 | Rhonda Buford | Psychologist | 398 College Ave, Clemson, SC 29631-1432 | 2008-06-16 |
| 1467677708 | Michelle Grant Scott | Social Worker | 398 College Ave, Clemson, SC 29631-1432 | 2007-04-13 |
| 1467575936 | Clemson Behavioral Health Pa | Psychiatry & Neurology | 398 College Ave, Clemson, SC 29631-1432 | 2007-04-09 |
| 1043336811 | Raul Paez | Psychiatry & Neurology | 398 College Ave, Clemson, SC 29631-1432 | 2007-03-22 |
| 1639226632 | Cynthia Carter Still | Counselor | 398 College Ave, Clemson, SC 29631-1432 | 2007-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063059038 | James Ryan Small | Specialist/Technologist | 212 Vista Cir, Clemson, SC 29631 | 2019-12-09 |
| 1811559883 | Cheyenne Leigh Reynolds | Specialist/Technologist | 100 Reeves Way, Clemson, SC 29631 | 2019-07-01 |
| 1912474792 | Andrea Bagley Stokes | Physical Therapist | 500-1 Old Greenville Hwy # 1, Clemson, SC 29631 | 2018-10-30 |
| 1114426178 | Intouch Pharmacy LLC | Pharmacy | 105 Wall Street, Suite 10b, Clemson, SC 29631 | 2018-02-06 |
| 1881117695 | Community Pharmacy Group, Inc. | Pharmacy | 143 Thomas Green Blvd, Clemson, SC 29631 | 2017-07-24 |
| 1295286276 | James Matthew Mills | Occupational Therapist | 101 Chapman Rd, Clemson, SC 29631 | 2016-10-14 |
| 1558769141 | Virginia Bridges Gaulin | Counselor | 209 Pendleton Rd Ste C, Clemson, SC 29631 | 2014-12-12 |
| 1437580628 | Amanda Martin Eubanks | Speech-Language Pathologist | 101 Chapman Road Suite 202, Clemson, SC 29631 | 2013-12-12 |
| 1437408499 | Fort Hill Family Dentistry, Pa | Clinic/Center | 124 Strode Circle, Clemson, SC 29631 | 2012-09-06 |
| 1942511738 | Theresa S Ritter | Counselor | 386 College Avenue, Suite A, Clemson, SC 29631 | 2010-06-25 |
| Find all providers in zip 29631 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386882637 | Sally L Jenkins | Specialist | 214 Keowee Trl, Clemson, SC 29631-1448 | 2009-01-24 |
| 1427262856 | May Francis Popham | Specialist | 214 Keowee Trl, Clemson, SC 29631-1448 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457977902 | Angela Bussey Washington | Specialist | 109 W Buena Vista Ave, North Augusta, SC 29841-3832 | 2020-06-21 |
| 1821630492 | Renell Nesbitt | Specialist | 818 Tom Hall St Ste 110, Fort Mill, SC 29715-2046 | 2019-10-15 |
| 1871147454 | Augusta Oncology Associates, P.C. | Specialist | 222 University Parkway, Aiken, SC 29803 | 2019-07-31 |
| 1689135584 | Carmelita Voncille Mcdaniels | Specialist | 108 Columbia Northeast Dr, Columbia, SC 29223-6433 | 2019-03-26 |
| 1770049801 | Medical Revenue Services | Specialist | 82 Monte Sano Dr Ste 2, Hanahan, SC 29410-8618 | 2019-02-13 |
| 1902381692 | Ig Medical Billing & Consulting LLC | Specialist | 2320 E North St Ste Rr 108, Greenville, SC 29607-1271 | 2018-09-27 |
| 1801307483 | Stacy Phillips | Specialist | 3015 Scuba Dr, Charleston, SC 29414-5696 | 2017-10-23 |
| 1245768415 | Jacquelyn Clark | Specialist | 2000 N Beltline Blvd Apt 102e, Columbia, SC 29204-3976 | 2017-05-31 |
| 1942741087 | James P Ceglie | Specialist | 400 Se Main St, Simpsonville, SC 29681-2689 | 2017-03-08 |
| 1003356213 | Jillian Jenay Mays | Specialist | 75 Old Trolley Rd Unit 8, Summerville, SC 29485-4900 | 2017-03-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.