Individual
RANDALL MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2009 KIRKMAN DR, BIRMINGHAM, AL 35242-4639
(205) 807-2510
Mailing address
2009 KIRKMAN DR, BIRMINGHAM, AL 35242-4639
(205) 807-2510
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-117452
AL
Other
Enumeration date
07/28/2018
Last updated
07/28/2018
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