Individual
JOHN MAYWALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NRP, FP-C, CCP-C
Contact information
Practice address
14 SLICE RD, PALMYRA, VA 22963-2300
(434) 589-4108
Mailing address
22 CLUB LN, PALMYRA, VA 22963-3367
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
E061805908
VA
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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