Basic Information
Provider Information
NPI: 1225061039
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MAYFIELD
FirstName: ERIN
MiddleName: CONNOR
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 2699
Address2:  
City: PENSACOLA
State: FL
PostalCode: 325132699
CountryCode: US
TelephoneNumber: 8504754500
FaxNumber: 8504754619
Practice Location
Address1: 5045 CARPENTER CREEK DR
Address2:  
City: PENSACOLA
State: FL
PostalCode: 32503
CountryCode: US
TelephoneNumber: 8504162400
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/08/2006
LastUpdateDate: 08/09/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207VG0400X034417GAN Allopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
207V00000XOS15532FLY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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