Individual
DR. KIM GREGORY MAYHALL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1430 TULANE AVE, SL-79, NEW ORLEANS, LA 70112-2632
(225) 907-4365
Mailing address
1430 TULANE AVE, SL-79, NEW ORLEANS, LA 70112
(504) 780-4375
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
301975
LA
Other
Enumeration date
04/25/2011
Last updated
07/10/2017
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