Individual
RANDY LANE MAYFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2010 BEAVER RUIN RD, NORCROSS, GA 30071-3710
(770) 449-9050
(770) 449-0366
Mailing address
2010 BEAVER RUIN RD, NORCROSS, GA 30071-3710
(770) 449-9050
(770) 449-0366
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001101
GA
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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