Organization
MAYS MEDICAL WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY L. MAYS FNP (FNP)
(662) 655-0456
Entity
Organization
Contact information
Practice address
3964 GOODMAN RD E STE 128, SOUTHAVEN, MS 38672-6494
(662) 655-0456
(662) 655-0457
Mailing address
3964 GOODMAN RD E STE 128, SOUTHAVEN, MS 38672-6494
(662) 655-0456
(662) 655-0457
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
MS
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001870621
—
MS
Enumeration date
06/22/2017
Last updated
03/01/2023
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