Healthcare Provider Details
I. General information
NPI: 1437132420
Provider Name (Legal Business Name): STUART T MAY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/22/2005
Last Update Date: 06/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2055 E S BLVD SUITE 712
MONTGOMERY AL
36116
US
IV. Provider business mailing address
2005 E S BLVD SUITE 712
MONTGOMERY AL
36116
US
V. Phone/Fax
- Phone: 334-288-1950
- Fax: 334-281-0014
- Phone: 334-288-1950
- Fax: 334-281-0014
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VG0400X |
| Taxonomy | Gynecology Physician |
| License Number | 6295 |
| License Number State | AL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: