Provider Demographics
NPI:1003262551
Name:MAYO, JAMES PERRY III (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:PERRY
Last Name:MAYO
Suffix:III
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1426 NAVAHO TRL UNIT 107
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28409-3325
Mailing Address - Country:US
Mailing Address - Phone:910-518-8807
Mailing Address - Fax:910-216-4278
Practice Address - Street 1:1426 NAVAHO TRL UNIT 107
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28409-3325
Practice Address - Country:US
Practice Address - Phone:910-518-8807
Practice Address - Fax:910-216-4278
Is Sole Proprietor?:No
Enumeration Date:2016-05-13
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT99492084B0040X
NC2182652084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & Neuropsychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry