Cornelius L. Mayfield, M.d., L.l.c. | |
7777 Hennessy Blvd Suite 102 Baton Rouge LA 70808-4300 | |
(225) 214-4300 | |
(225) 214-4303 |
Full Name | Cornelius L. Mayfield, M.d., L.l.c. |
---|---|
Speciality | Internal Medicine |
Location | 7777 Hennessy Blvd, Baton Rouge, Louisiana |
Authorized Official Name and Position | Cornelius Laffitte Mayfield (ORGANIZER) |
Authorized Official Contact | 2252144300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cornelius L. Mayfield, M.d., L.l.c. 7777 Hennessy Blvd Suite 102 Baton Rouge LA 70808-4300 Ph: (225) 214-4300 | Cornelius L. Mayfield, M.d., L.l.c. 7777 Hennessy Blvd Suite 102 Baton Rouge LA 70808-4300 Ph: (225) 214-4300 |
NPI Number | 1154517696 |
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Provider Enumeration Date | 09/19/2007 |
Last Update Date | 10/12/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154517696 | NPI | - | NPPES |
1698989 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 12328R (Louisiana) | Primary |
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