Individual
KATHY D MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
707 W H SMITH BLVD, GREENVILLE, NC 27834-3752
(252) 758-6080
(252) 758-0009
Mailing address
707 W H SMITH BLVD, GREENVILLE, NC 27834-3752
(252) 758-6080
(252) 758-0009
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34393
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8955248
—
NC
Enumeration date
08/31/2006
Last updated
09/02/2010
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