Individual
AMBER RENEE MAYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1279 HIGHWAY 54 W, SUITE 100, FAYETTEVILLE, GA 30214-4550
(770) 460-8988
(770) 460-0727
Mailing address
191 MEDICAL BLVD, SUITE 100, STOCKBRIDGE, GA 30281-5083
(770) 991-1000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004130
GA
Other
Enumeration date
11/22/2006
Last updated
04/01/2016
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