Provider Demographics
NPI:1790914778
Name:KATE MAYES MD LLC
Entity Type:Organization
Organization Name:KATE MAYES MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KATE
Authorized Official - Middle Name:B
Authorized Official - Last Name:MAYES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:803-641-1270
Mailing Address - Street 1:223 PARK AVE SE
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29801-4505
Mailing Address - Country:US
Mailing Address - Phone:803-641-1270
Mailing Address - Fax:864-542-1915
Practice Address - Street 1:223 PARK AVE SE
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801-4505
Practice Address - Country:US
Practice Address - Phone:803-641-1270
Practice Address - Fax:864-542-1915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-10
Last Update Date:2009-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty