Individual
DR. TRACY L MAYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD PHD
Contact information
Practice address
215 VILLAGE PARKWAY, HELENA, AL 35080
(205) 620-9222
Mailing address
215 VILLAGE PARKWAY, HELENA, AL 35080
(205) 620-9222
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
AL4448
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05466
BCBS OF AL
AL
Enumeration date
08/24/2006
Last updated
07/08/2007
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