Individual
NICHOLAS DEAN MAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 791-2519
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2013-00286
NC
2085R0202X
Diagnostic Radiology Physician
Primary
31028
SC
Other
Enumeration date
06/19/2008
Last updated
11/09/2020
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