Healthcare Provider Details

I. General information

NPI: 1689359655
Provider Name (Legal Business Name): ZACHARY AARON MAYO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2023
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 GODWIN DR
WILLIAMSTON NC
27892-6828
US

IV. Provider business mailing address

101 S MARKET ST
WASHINGTON NC
27889-4952
US

V. Phone/Fax

Practice location:
  • Phone: 252-789-0401
  • Fax:
Mailing address:
  • Phone: 252-644-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2026-03223
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: