Provider Demographics
NPI:1376651778
Name:MAY FAMILY PRACTICE PLLC
Entity Type:Organization
Organization Name:MAY FAMILY PRACTICE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:D
Authorized Official - Last Name:MAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:901-881-6861
Mailing Address - Street 1:2996 KATE BOND RD
Mailing Address - Street 2:SUITE 401
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38133
Mailing Address - Country:US
Mailing Address - Phone:901-881-6861
Mailing Address - Fax:901-881-6865
Practice Address - Street 1:2996 KATE BOND RD
Practice Address - Street 2:SUITE 401
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38133
Practice Address - Country:US
Practice Address - Phone:901-881-6861
Practice Address - Fax:901-881-6865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-26
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN40555207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G96867Medicare UPIN
TN3370072Medicare PIN