Individual
MARQUITHA S MAYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1718 PEACHTREE ST NW, ATLANTA, GA 30309-2452
(404) 350-9505
(404) 350-1611
Mailing address
PO BOX 54888, ATLANTA, GA 30308-0888
(404) 350-9505
(404) 350-1611
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
001348
GA
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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