MEDICARE: TERRILIA MAYS

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	374U00000X	Home Health Aide
2	374U00000X	Home Health Aide		GU

General Provider Information

NPI Number	:	1972120491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERRILIA MAYS

Provider Business Mailing Address
First Line	:	2205 WESTOVER DR
Second Line	:
City	:	EAST POINT
State	:	GA
Zip	:	30344-1123
Country	:	US
Telephone Number	:	404-452-5725
Fax Number	:

Provider Business Practice Location Address
First Line	:	2205 WESTOVER DR
Second Line	:
City	:	EAST POINT
State	:	GA
Zip	:	30344-1123
Country	:	US
Telephone Number	:	404-452-5725
Fax Number	:

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

Provider Enumeration Date	:	06/30/2020
Last Update Date	:	06/30/2020

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Directions to “ TERRILIA MAYS ” Practice Location

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