Individual
ROBERT E. MAYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 WATERCOVE RD, MIDLOTHIAN, VA 23112-3982
(804) 744-0200
(804) 744-8417
Mailing address
13332 MIDLOTHIAN TPKE, MIDLOTHIAN, VA 23113-4210
(804) 794-5598
(804) 858-0181
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101058018
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101883
UNITED HEALTHCARE
VA
01
—
11294
CIGNA
VA
01
—
125421
SOUTHERN HEALTH
VA
01
—
216367
ANTHEM
VA
01
—
36466
OPTIMA
VA
01
—
540189
AETNA
VA
01
—
540883363
PHCS
VA
05
—
5610401
—
VA
01
—
881711
MAMSI
VA
Enumeration date
05/16/2006
Last updated
01/05/2018
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