Individual
MR. EVAN DAVID MAYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHS, MS, PA-C
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 718-9080
(336) 718-9085
Mailing address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 521-5973
(410) 521-7669
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-03661
NC
363A00000X
Physician Assistant
024905
NY
363A00000X
Physician Assistant
Primary
C05396
MD
363AS0400X
Surgical Physician Assistant
0010-03661
NC
Other
Enumeration date
11/29/2012
Last updated
05/04/2026
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