Individual
JOHN R MAYHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1200 W. WASHINGTON ST, HARPERS FERRY, WV 25425
(304) 535-2409
Mailing address
PO BOX 200, HARPERS FERRY, WV 25425-0200
(304) 535-2409
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2190
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0135616000
—
WV
Enumeration date
12/12/2006
Last updated
08/21/2007
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