Individual
MARC STEPHEN MAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1 SISKIN PLZ, STE 101, CHATTANOOGA, TN 37403-1306
(423) 803-2226
(423) 803-2222
Mailing address
1 SISKIN PLZ, STE 101, CHATTANOOGA, TN 37403-1306
(423) 803-2226
(423) 803-2222
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
005097
GA
363A00000X
Physician Assistant
Primary
1417
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3668464
—
TN
Enumeration date
12/13/2006
Last updated
07/27/2016
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