Organization
CORNELIUS L. MAYFIELD, M.D., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORNELIUS LAFFITTE MAYFIELD M.D. (ORGANIZER)
(225) 214-4300
Entity
Organization
Contact information
Practice address
7777 HENNESSY BLVD, SUITE 102, BATON ROUGE, LA 70808-4300
(225) 214-4300
(225) 214-4303
Mailing address
7777 HENNESSY BLVD, SUITE 102, BATON ROUGE, LA 70808-4300
(225) 214-4300
(225) 214-4303
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12328R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1698989
—
LA
Enumeration date
09/19/2007
Last updated
10/12/2007
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