MAYS MEDICAL WELLNESS LLC NPI 1649790437

NPI Information

NPI: 1649790437
Provider Name: MAYS MEDICAL WELLNESS, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 25D2136510

Address:
730 GOODMAN RD E STE 2
SOUTHAVEN, MS
ZIP 38671
Phone: (662) 655-0456
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MAYS MEDICAL WELLNESS, LLC is a primary care clinic center in Southaven, MS. MAYS MEDICAL WELLNESS, LLC NPI is 1649790437. The provider is registered as an organization entity type.

The provider's business location address is:

730 GOODMAN RD E STE 2
SOUTHAVEN, MS
ZIP 38671-530
Phone: (662) 655-0456

The provider's authorized official is Tracey L. Mays .
The authorized official title is Fnp and has the following contact phone number (662) 655-0456.

The CLIA number assigned to this NPI record is 25D2136510 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/22/2017 and was last updated on 9/21/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care		MISSISSIPPI	Yes

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: 11/14/2023

NPI Synchronization or Removal

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