Derrick Mayo LLC

NPI #1982415154 in Columbus, Ohio

Provider Information

NPI Number: 1982415154
Entity Type: Organization
Organization Name: Derrick Mayo LLC
Primary Specialty: General Practice
Enumeration Date: Jan 16, 2025
Last Updated: Jan 17, 2025

Practice Location

Address: 81 S 4TH ST STE 205
City: Columbus
State: Ohio
ZIP Code: 43215-4308
Phone: (614) 588-8200

Authorized Official

Name: TARA POLIZZI
Title: OFFICE MANAGER
Phone: (614) 588-8200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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