Individual
JAMES B MAYFIELD JR.
Active
Individual
JAMES B MAYFIELD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
051980
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000963201B
—
GA
05
—
000963201C
—
GA
05
—
000963201D
—
GA
01
—
050090642
RR MEDICARE
—
01
—
1801843933
GROUP NPI
—
01
—
284127
BCBS GA
GA
01
—
339283
WELLCARE CMO
GA
01
—
530938
AETNA (GROUP)
—
01
—
550789920
TRICARE (GROUP)
—
05
—
G51980
—
SC
Enumeration date
11/13/2006
Last updated
06/19/2008
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