Provider Demographics
NPI:1497072508
Name:SPYRIE D MAYS MD APMC
Entity Type:Organization
Organization Name:SPYRIE D MAYS MD APMC
Other - Org Name:SPYRIE D MAYS MD
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SPYRIE
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:MAYS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:225-381-2740
Mailing Address - Street 1:3401 NORTH BLVD
Mailing Address - Street 2:STE 340
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-3743
Mailing Address - Country:US
Mailing Address - Phone:225-381-2740
Mailing Address - Fax:225-381-2511
Practice Address - Street 1:3401 NORTH BLVD
Practice Address - Street 2:STE 340
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-3743
Practice Address - Country:US
Practice Address - Phone:225-381-2740
Practice Address - Fax:225-381-2511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-28
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA018962208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAD87018Medicare UPIN