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General NPI Number Information
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NPI Number | 1649537440
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Entity Type | Organization
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Legal Business Name | GREGORY C MAYS M.D., P.L.C.
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Dates
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Enumeration Date | 04/18/2012
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Last Update Date | 04/18/2012
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Provider Practice Location Address
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Address Line | 201 INTERSTATE DR
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City | COVINGTON
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State | VA
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Zip | 24426-6441
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Country | US
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Telephone | 540-962-4621
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Fax | 540-962-7573
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Provider Business Mailing Address
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Address Line | 201 INTERSTATE DR
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City | COVINGTON
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State | VA
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Zip | 24426-6441
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Country | US
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Telephone | 540-962-4621
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Fax | 540-962-7573
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Authorized Official
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Title or Position | MEMBER
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Name | DR. GREGORY MAYS
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Credential | M.D.
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Telephone | 540-962-4621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0101056393
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License Number State | VA
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