Individual
VITA LAM MAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
400 E ECONOMY RD, SUITE 8, MORRISTOWN, TN 37814-3388
(423) 587-4600
(423) 587-1729
Mailing address
400 E ECONOMY RD, SUITE 8, MORRISTOWN, TN 37814-3388
(423) 587-4600
(423) 587-1729
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2121
TN
Other
Enumeration date
04/04/2012
Last updated
01/02/2015
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