Provider Demographics
NPI:1710142278
Name:MAYS, VICKY LYNN (DO)
Entity Type:Individual
Prefix:DR
First Name:VICKY
Middle Name:LYNN
Last Name:MAYS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:658 BURKE RD
Mailing Address - Street 2:
Mailing Address - City:MASONTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26542
Mailing Address - Country:US
Mailing Address - Phone:304-864-4362
Mailing Address - Fax:304-864-4366
Practice Address - Street 1:658 BURKE RD
Practice Address - Street 2:
Practice Address - City:MASONTOWN
Practice Address - State:WV
Practice Address - Zip Code:26542
Practice Address - Country:US
Practice Address - Phone:304-864-4362
Practice Address - Fax:304-864-4366
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-24
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2571207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine