=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538290838
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MAY CLINIC,PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/08/2007
-----------------------------------------------------
Last Update Date | 03/11/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 923 W G ST
-----------------------------------------------------
City | ELIZABETHTON
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37643-2960
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 423-543-3147
-----------------------------------------------------
Fax | 423-543-3620
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 923 W G ST STE 1
-----------------------------------------------------
City | ELIZABETHTON
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37643-2960
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 423-543-3147
-----------------------------------------------------
Fax | 423-543-3620
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | SCOTT E MAY
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 423-543-3147
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207VG0400X
-----------------------------------------------------
Taxonomy Name | Gynecology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 208D00000X
-----------------------------------------------------
Taxonomy Name | General Practice Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------