MEDICARE: COUNTRY DOCTORS FAMILY MEDICINE PROFESSIONAL CORPORATION

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
1	207Q00000X	Family Medicine Physician	2571	WV

General Provider Information

NPI Number	:	1497161624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTRY DOCTORS FAMILY MEDICINE PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	658 BURKE RD
Second Line	:
City	:	MASONTOWN
State	:	WV
Zip	:	26542-0000
Country	:	US
Telephone Number	:	304-864-4362
Fax Number	:	304-864-4366

Provider Business Practice Location Address
First Line	:	658 BURKE RD
Second Line	:
City	:	MASONTOWN
State	:	WV
Zip	:	26542-0000
Country	:	US
Telephone Number	:	304-864-4362
Fax Number	:	304-864-4366

Authorized Official
Title or Position	:	AO
Name	:	DR. VICKY LYNN MAYS
Credential	:	DO
Telephone Number	:	304-864-4362

Provider Enumeration Date	:	07/09/2014
Last Update Date	:	07/10/2022

Similar Medicare Providers

1942256573 — VALLEY DISTRICT AMBULANCE INC
Practice Location Address:

10452 VETERANS MEMORIAL HWY
MASONTOWN, WV
26542-0000

Practice Phone: 304-854-1197
Practice Fax:

1598778227 — ERIC BARDINE BELLDINA RPH, MS
Practice Location Address:

303 MAIN STREET
MASONTOWN, WV
26542-0112

Practice Phone: 304-864-4000
Practice Fax: 304-864-3727

1356410849 — MRS. JENNIFER L FIELD OPTICIAN
Practice Location Address:

10565 VETERANS MEMORIAL HIGHWAY
MASONTOWN, WV
26542-9577

Practice Phone: 304-864-2242
Practice Fax: 304-864-2250

1053474155 — MAIN PHARMACY
Practice Location Address:

MAIN STREET
MASONTOWN, WV
26542-0160

Practice Phone: 304-864-5711
Practice Fax:

1104006386 — DANETTE LYNNE CROASTON CRNA
Practice Location Address:

111 LONE PINE DR
MASONTOWN, WV
26542-8605

Practice Phone: 304-376-6557
Practice Fax:

1710142278 — DR. VICKY LYNN MAYS D.O.
Practice Location Address:

658 BURKE RD
MASONTOWN, WV
26542

Practice Phone: 304-864-4362
Practice Fax: 304-864-4366

Directions to “COUNTRY DOCTORS FAMILY MEDICINE PROFESSIONAL CORPORATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.