Provider Demographics
NPI:1326035627
Name:MAYS, CLIFTON (DC)
Entity Type:Individual
Prefix:
First Name:CLIFTON
Middle Name:
Last Name:MAYS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3755 ADMIRAL DR STE 106
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-1554
Mailing Address - Country:US
Mailing Address - Phone:336-887-9460
Mailing Address - Fax:336-887-5710
Practice Address - Street 1:3755 ADMIRAL DR
Practice Address - Street 2:SUITE 106
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-1546
Practice Address - Country:US
Practice Address - Phone:336-887-9460
Practice Address - Fax:336-887-5710
Is Sole Proprietor?:No
Enumeration Date:2005-10-02
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3032111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89085G0Medicaid
NCU47432Medicare UPIN
NC89085G0Medicaid