Individual
DR. WALLACE DAVID MAYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
151 MAYO ST, SUITE B, AMERICUS, GA 31709-3735
(229) 928-2900
(229) 928-2682
Mailing address
151 MAYO ST, SUITE B, AMERICUS, GA 31709-3735
(229) 928-2900
(229) 928-2682
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
207V00000X
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00189472A
—
GA
01
—
GRP623
MEDICARE GRP #
GA
Enumeration date
02/09/2006
Last updated
01/18/2008
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