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General NPI Number Information
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NPI Number | 1750906988
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Entity Type | Individual
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Provider Name | JAMES DELROY MAYERS JR. MD
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Gender | Male
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Dates
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Enumeration Date | 06/12/2020
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 141 CEASAR PL
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29926-2930
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Country | US
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Telephone | 443-722-8414
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Fax |
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Provider Business Mailing Address
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Address Line | 141 CEASAR PL
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29926-2930
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Country | US
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Telephone | 443-722-8414
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | V0953
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 92671
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 91083
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License Number State | SC
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