Individual
DR. RAFAEL DAVID MAYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
287 HEALTHWEST DR, DOTHAN, AL 36303-2031
(334) 792-9500
(334) 793-1815
Mailing address
287 HEALTHWEST DR, DOTHAN, AL 36303-2031
(334) 792-9500
(334) 793-1815
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
9173
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000081377
—
AL
05
—
000087123
—
AL
05
—
00438787A
—
GA
01
—
110052488
PALMETTO GBA RR MEDICARE
AL
01
—
51081377
BLUE CROSS & BLUE SHIELD
AL
01
—
51087123
BLUE CROSS & BLUE SHIELD
AL
Enumeration date
09/22/2006
Last updated
03/07/2016
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