Ida Mayaka, FNP is a family nurse practitioner in Macon, GA. Ida Mayaka, FNP NPI is 1578160560. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
210 AUTUMN TRACE CT
MACON, GA
ZIP 31210-025
Phone: (612) 308-9012
The NPI 1578160560 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 10/3/2020 and was last updated on 12/8/2020.