Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | OS015516 | PA |
N | 207VX0201X | Gynecologic Oncologist | 0102203772 | VA |
Y | 207VX0201X | Gynecologic Oncologist | 3336 | TN |
NPI | 1265610380 |
---|---|
Provider Name | Dr. Brenda May May |
First Address | Columbia, TN 38401-6405 |
Second Address | Newnan, GA 30265-8001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2008 |
Last Update Date | 22/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
082690 | GEORGIA MEDICAL LICENSE (01) | GA |
1025826040001 | (05) | PA |
1599056 | GATEWAY (01) | PA |
2618261 | HIGHMARK BLUE SHIELD-WMG (01) | PA |
30100070 | AMERIHEALTH MERCY-WMG (01) | PA |
417116 | UPMC (01) | PA |
974288 | CAREFIRST MD (01) | MD |