Provider Demographics
NPI:1093435927
Name:MAYS MOBILE WELLNESS, LLC
Entity Type:Organization
Organization Name:MAYS MOBILE WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:828-450-7064
Mailing Address - Street 1:248 ABIGAIL CT
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29730-6150
Mailing Address - Country:US
Mailing Address - Phone:980-349-8434
Mailing Address - Fax:
Practice Address - Street 1:248 ABIGAIL CT
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29730-6150
Practice Address - Country:US
Practice Address - Phone:980-349-8434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-31
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No347C00000XTransportation ServicesPrivate Vehicle