Individual
MR. MARK MAYFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
611 HIGHWAY 74 S, SUITE 720, PEACHTREE CITY, GA 30269-3081
(678) 877-6440
Mailing address
523 BROOKS WOOLSEY RD, FAYETTEVILLE, GA 30215-7031
(678) 877-6440
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000608
GA
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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