Healthcare Provider Details

I. General information

NPI: 1023182581
Provider Name (Legal Business Name): MAYS & SCHNAPP PAIN CLINIC & REHABILITATION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 10/28/2022
Certification Date: 10/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 HUMPHREYS CENTER DRIVE SUITE 200
MEMPHIS TN
38120-2366
US

IV. Provider business mailing address

PO BOX 1000 DEPT 106
MEMPHIS TN
38148-0106
US

V. Phone/Fax

Practice location:
  • Phone: 901-747-0040
  • Fax: 901-747-4340
Mailing address:
  • Phone: 901-979-8003
  • Fax: 901-979-8406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number0000000064
License Number StateTN

VIII. Authorized Official

Name: KIT SANFORD MAYS
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 901-979-8003