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Clarence Mayo
Point of Service in Williamsburg, Virginia
NPI 1962821611

Clarence Mayo is a Point of Service based in Williamsburg, VA. Clarence Mayo practices in Williamsburg, VA. The NPI Number for Clarence Mayo is 1962821611 and holds a License No. 1586 (Virginia).

The current practice location address for Clarence Mayo is 153 Blackheath, Williamsburg, VA and can be reached out via phone at 757-209-1060 and via fax at 757-345-0125.

Location: 153 Blackheath, Williamsburg, VA, 23188-7482
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962821611
Provider Name
Clarence Mayo
Credential
Provider Entity Type
Individual
Gender
Male
Address
153 Blackheath, Williamsburg, VA, 23188-7482
Phone Number
757-209-1060
Fax Number
757-345-0125
Provider Enumeration Date
04/09/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
153 Blackheath
City
Williamsburg
State
Virginia
Zip
23188-7482
Phone Number
757-209-1060
Fax Number
757-345-0125
person
Provider Business Mailing Address Details
Address
153 Blackheath
City
Williamsburg
State
Virginia
Zip
23188-7482
Phone Number
757-209-1060
Fax Number
757-345-0125
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
1586 (Virginia)
Definition
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.
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