Healthcare Provider Details
I. General information
NPI: 1508858135
Provider Name (Legal Business Name): BILLY P MAY DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/19/2005
Last Update Date: 01/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1320 7TH AVE
HUNTINGTON WV
25701-2904
US
IV. Provider business mailing address
2 MAY DR
HUNTINGTON WV
25704-9314
US
V. Phone/Fax
- Phone: 304-529-7164
- Fax: 304-529-0197
- Phone: 304-429-4481
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | 00133 |
| License Number State | WV |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: