Mayfield, Jan Renee
Mayfield, Jan Renee is an individual health care provider with primary practice located at 1200 Memorial Dr , Dalton GA 30720-2529. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Mayfield, Jan Renee can be contacted via phone (706) 278-2105.Contact Information
Primary practice address
1200 Memorial Dr
Dalton GA 30720-2529
Phone: (706) 278-2105
Fax: (865) 291-3228
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 051355 | Georgia |
Profile Details
NPI number | 1366473837 |
---|---|
LBN Legal business name | Mayfield, Jan Renee |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 5th, 2006 |
Last updated | Jul 26th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366473837 | NPPES |
Georgia | MEDICAID | 000967766B | |
Georgia | Other | P00232715 |
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