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NPI Code Detail

MEDICARE: DR. OWITA R MAYS MD

MEDICARE:  DR. OWITA R MAYS  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician35816TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13618742OTHERCIGNA
24097002OTHERTNBLUE CROSS BLUE SHIELD
32260408OTHERUNITED HEALTHCARE
47856361OTHERAETNA

General Provider Information

NPI Number : 1215930094
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OWITA R MAYS MD
Provider Business Mailing Address
First Line : 351 S ROWLETT ST
Second Line :
City : COLLIERVILLE
State : TN
Zip : 38017-2554
Country : US
Telephone Number : 901-568-2606
Fax Number :
Provider Business Practice Location Address
First Line : 1500 W. POPLAR AVENUE
Second Line : SUITE 202
City : COLLIERVILLE
State : TN
Zip : 38017-2544
Country : US
Telephone Number : 901-861-9090
Fax Number : 901-861-9099
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 03/25/2024

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