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General NPI Number Information
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NPI Number | 1023346160
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Entity Type | Organization
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Legal Business Name | MAYS CHIROPRACTIC CORP
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Dates
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Enumeration Date | 12/01/2009
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Last Update Date | 08/15/2012
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Provider Practice Location Address
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Address Line | 801 S FAIRMONT AVE SUITE 7
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City | LODI
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State | CA
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Zip | 95240-5106
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Country | US
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Telephone | 209-368-1895
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Fax | 209-333-1905
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Provider Business Mailing Address
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Address Line | 801 S FAIRMONT AVE SUITE 7
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City | LODI
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State | CA
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Zip | 95240-5106
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Country | US
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Telephone | 209-368-1895
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Fax | 209-333-1905
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Authorized Official
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Title or Position | PRESIDENT
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Name | MITCHELL B MAYS
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Credential | D.C.
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Telephone | 209-368-1895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 11979
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License Number State | CA
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