MEDICARE: LINDA H MAYS DPH

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	183500000X	Pharmacist	2786	TN

General Provider Information

NPI Number	:	1699859959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA H MAYS DPH

Provider Business Mailing Address
First Line	:	PO BOX 258
Second Line	:
City	:	CENTERVILLE
State	:	TN
Zip	:	37033-0258
Country	:	US
Telephone Number	:	931-729-2999
Fax Number	:	931-729-3393

Provider Business Practice Location Address
First Line	:	146 E SWAN ST
Second Line	:
City	:	CENTERVILLE
State	:	TN
Zip	:	37033-1446
Country	:	US
Telephone Number	:	931-729-2999
Fax Number	:	931-729-3393

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	06/11/2013

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Directions to “ LINDA H MAYS DPH” Practice Location

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