Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | MD0000008283 | TN |
N | 2081P2900X | Pain Medicine | MD0000008283 | TN |
NPI | 1104993773 |
---|---|
Provider Name | Kit Sanford Mays |
First Address | Memphis, TN 38101-0205 |
Second Address | Memphis, TN 38120-2366 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2006 |
Last Update Date | 16/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0017765 | BLUE CROSS TN (01) | TN |
2042040 | UNITED HEALTHCARE (01) | |
2602558 | CIGNA (01) | |
3179049 | (05) | TN |
4057014 | AETNA (01) | |
B03847 | (02) |