Organization
TAMIKO MAYO MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER MAYO (MANAGER)
(225) 381-2712
Entity
Organization
Contact information
Practice address
3401 NORTH BLVD, SUITE 360, BATON ROUGE, LA 70806-3743
(225) 381-2712
(225) 381-2715
Mailing address
PO BOX 82109, BATON ROUGE, LA 70884-2109
(225) 381-2712
(225) 381-2715
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1576565
—
LA
Enumeration date
05/28/2006
Last updated
10/16/2007
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