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Individual

CODY ALEKSANDER MAYFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1601 HARMON AVE, FT STEWART, GA 31314
(912) 435-5254
(912) 435-6325
Mailing address
1601 HARMON AVE, FT STEWART, GA 31314
(912) 435-5254
(912) 435-6325

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
246ZX2200X
Orthopedic Assistant

Other

Enumeration date
10/09/2014
Last updated
10/09/2014
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