Individual
MICHELLE LEWIS MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1001 MILITARY CUTOFF RD STE 200, WILMINGTON, NC 28405-4318
(910) 254-9464
(910) 254-3474
Mailing address
PO BOX 3788, WILMINGTON, NC 28406-0788
(910) 254-9464
(910) 254-3474
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001001709
NC
Other
Enumeration date
02/23/2009
Last updated
10/09/2024
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