Provider Demographics
NPI:1083627996
Name:MAYS, JOANN MICHALIK (MD)
Entity Type:Individual
Prefix:
First Name:JOANN
Middle Name:MICHALIK
Last Name:MAYS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 SAINT VINCENTS DR
Mailing Address - Street 2:SUITE 430
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1636
Mailing Address - Country:US
Mailing Address - Phone:205-939-1250
Mailing Address - Fax:205-939-1349
Practice Address - Street 1:805 SAINT VINCENTS DR
Practice Address - Street 2:SUITE 430
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1636
Practice Address - Country:US
Practice Address - Phone:205-939-1250
Practice Address - Fax:205-939-1349
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10524208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51089548OtherBLUE CROSS PROVIDER ID
631061517OtherFEDERAL TAX ID
4006208OtherAETNA PROVIDER ID
631061517OtherFEDERAL TAX ID