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Individual

DR. WILLIAM RODGER MAYFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
61WHITCHER ST NE, SUITE 4120, MARIETTA, GA 30060-1155
(770) 424-9732
(770) 421-0228
Mailing address
61 WHITCHER ST NE, SUITE 4120, MARIETTA, GA 30060-1176
(770) 424-9732
(770) 421-0228

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
035105
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00367639B
GA
Enumeration date
11/16/2005
Last updated
09/27/2019
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