Individual
MRS. DONNA K. MAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
302 UNIVERSITY PARKWAY, AIKEN, SC 29801-2792
(803) 641-5661
(803) 641-5625
Mailing address
302 UNIVERSITY PARKWAY, AIKEN, SC 29801-2792
(803) 641-5651
(803) 641-5625
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085003050
IL
363A00000X
Physician Assistant
Primary
1360
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0893PA
—
SC
Enumeration date
09/25/2007
Last updated
11/20/2013
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