Provider Demographics
NPI:1003248444
Name:MAYS, DANIEL RYAN (PA-C)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:RYAN
Last Name:MAYS
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2681 ANDERSONVILLE HWY
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:TN
Mailing Address - Zip Code:37716-6706
Mailing Address - Country:US
Mailing Address - Phone:865-494-5960
Mailing Address - Fax:
Practice Address - Street 1:2681 ANDERSONVILLE HWY
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:TN
Practice Address - Zip Code:37716-6706
Practice Address - Country:US
Practice Address - Phone:865-494-5960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-08
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2377363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant