Provider Demographics
NPI:1639543929
Name:MAY, CHARLES LEE
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:LEE
Last Name:MAY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3910 BUFFALO RD
Mailing Address - Street 2:
Mailing Address - City:BUCHANAN
Mailing Address - State:MI
Mailing Address - Zip Code:49107-8427
Mailing Address - Country:US
Mailing Address - Phone:574-303-4525
Mailing Address - Fax:
Practice Address - Street 1:3910 BUFFALO RD
Practice Address - Street 2:
Practice Address - City:BUCHANAN
Practice Address - State:MI
Practice Address - Zip Code:49107-8427
Practice Address - Country:US
Practice Address - Phone:574-303-4525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-24
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other