MEDICARE: MR. MICHAEL SCOTT MAY CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	066302	NC

General Provider Information

NPI Number	:	1447235023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL SCOTT MAY CRNA

Provider Business Mailing Address
First Line	:	202 WOODFERN DR
Second Line	:
City	:	JAMESTOWN
State	:	NC
Zip	:	27282-9625
Country	:	US
Telephone Number	:	336-841-4821
Fax Number	:

Provider Business Practice Location Address
First Line	:	202 WOODFERN DR
Second Line	:
City	:	JAMESTOWN
State	:	NC
Zip	:	27282-9625
Country	:	US
Telephone Number	:	336-841-4821
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2005
Last Update Date	:	08/29/2007

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