# CORNELIUS L. MAYFIELD, M.D., L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154517696
- **Authorized official:** DR. CORNELIUS LAFFITTE MAYFIELD M.D. (ORGANIZER)
- **Authorized official phone:** (225) 214-4300

## Contact information

- **Practice address:** 7777 HENNESSY BLVD, SUITE 102, BATON ROUGE, LA 70808-4300
- **Practice address phone:** (225) 214-4300
- **Practice address fax:** (225) 214-4303
- **Mailing address:** 7777 HENNESSY BLVD, SUITE 102, BATON ROUGE, LA 70808-4300
- **Mailing address phone:** (225) 214-4300
- **Mailing address fax:** (225) 214-4303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 12328R | LA | Yes |

## Other

- **Enumeration date:** 09/19/2007
- **Last updated:** 10/12/2007