MEDICARE: DR. VICKY LYNN MAYS D.O.

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	207Q00000X	Family Medicine Physician	2571	WV

General Provider Information

NPI Number	:	1710142278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VICKY LYNN MAYS D.O.

Provider Business Mailing Address
First Line	:	658 BURKE RD
Second Line	:
City	:	MASONTOWN
State	:	WV
Zip	:	26542
Country	:	US
Telephone Number	:	304-864-4362
Fax Number	:	304-864-4366

Provider Business Practice Location Address
First Line	:	658 BURKE RD
Second Line	:
City	:	MASONTOWN
State	:	WV
Zip	:	26542
Country	:	US
Telephone Number	:	304-864-4362
Fax Number	:	304-864-4366

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

Provider Enumeration Date	:	07/24/2008
Last Update Date	:	03/04/2024

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