Individual provider · Type 1 NPI
Clarence Mayo
Point of Service · Williamsburg, VA
NPI number
1962821611
Active
Practice location
153 Blackheath
Williamsburg, VA 23188-7482
Fax (757) 345-0125
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Point of Service Primary | 305S00000X | 1586 (VA) |
Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Another provider at this address
About NPI 1962821611
Clarence Mayo's National Provider Identifier is 1962821611, issued on Apr 9, 2014. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Williamsburg, VA. The record was last updated on Apr 9, 2014.