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STAN J MAYS MD A PROFESSIONAL MEDICAL CORPORATION NPI 1104959741


NPI Information

NPI: 1104959741
Provider Name: STAN J MAYS MD A PROFESSIONAL MEDICAL CORPORATION

Doing Business As: MAYS CLINIC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 19D0462348

Address:
4242 GUS YOUNG AVE
BATON ROUGE, LA
ZIP 70802
Phone: (225) 926-2258
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STAN J MAYS MD A PROFESSIONAL MEDICAL CORPORATION is a primary care clinic center in Baton Rouge, LA. STAN J MAYS MD A PROFESSIONAL MEDICAL CORPORATION NPI is 1104959741. The provider is registered as an organization entity type.
The provider Is Doing Business As Mays Clinic.

The provider's business location address is:

4242 GUS YOUNG AVE
BATON ROUGE, LA
ZIP 70802-733
Phone: (225) 926-2258
Fax: (225) 925-2520

The provider's authorized official is Stan J Mays .
The authorized official title is President and has the following contact phone number (225) 926-2258.

The CLIA number assigned to this NPI record is 19D0462348 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/13/2007 and was last updated on 6/16/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareL18505LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15CM81MEDICARE PINLOUISIANA
2B65047MEDICARE UPINLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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