Individual
HEATHER LYNNE MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9 MANHATTAN SQ STE A, HAMPTON, VA 23666-6262
(757) 838-6335
(757) 838-0612
Mailing address
176 LORI CIR, NEWPORT NEWS, VA 23602-6887
(757) 593-0016
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/15/2016
Last updated
11/30/2018
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