Individual
CHRISTINA L MAYVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
389 MULBERRY ST, SUITE 200, MACON, GA 31201-7914
(478) 743-9123
(478) 742-9809
Mailing address
389 MULBERRY ST, SUITE 200, MACON, GA 31201-7914
(478) 743-9123
(478) 742-9809
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
043423
GA
Other
Enumeration date
06/08/2006
Last updated
02/18/2016
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