Individual
CHARLES E MAYES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 DOCTORS DR, DOTHAN, AL 36301-2911
(334) 793-5672
(334) 794-0378
Mailing address
PO BOX 1928, DOTHAN, AL 36302-1928
(334) 793-8705
(334) 793-8191
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD202546
LA
207RC0000X
Cardiovascular Disease Physician
ME0088310
FL
207RI0011X
Interventional Cardiology Physician
Primary
MD48527
AL
207RI0011X
Interventional Cardiology Physician
ME88310
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1350184
—
LA
05
—
267810100
—
FL
05
—
334710
—
AL
Enumeration date
07/18/2006
Last updated
09/19/2024
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