Provider Demographics
NPI:1083363659
Name:MAYS, CORDARO (NREMT-P, ASCP)
Entity Type:Individual
Prefix:
First Name:CORDARO
Middle Name:
Last Name:MAYS
Suffix:
Gender:M
Credentials:NREMT-P, ASCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 N STRINGER AVE
Mailing Address - Street 2:
Mailing Address - City:MOUND BAYOU
Mailing Address - State:MS
Mailing Address - Zip Code:38762-9331
Mailing Address - Country:US
Mailing Address - Phone:662-545-8619
Mailing Address - Fax:
Practice Address - Street 1:310 N STRINGER AVE
Practice Address - Street 2:
Practice Address - City:MOUND BAYOU
Practice Address - State:MS
Practice Address - Zip Code:38762-9331
Practice Address - Country:US
Practice Address - Phone:662-545-8619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-21
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory