Provider Demographics
NPI:1881841989
Name:MAYS, JOELLE LYNN-MARIE (MD)
Entity Type:Individual
Prefix:
First Name:JOELLE
Middle Name:LYNN-MARIE
Last Name:MAYS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2041 GEORGIA AVE NW TOWER 1700
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20060-0001
Mailing Address - Country:US
Mailing Address - Phone:202-865-4146
Mailing Address - Fax:202-865-7407
Practice Address - Street 1:2041 GEORGIA AVE NW TOWER 1700
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20060-3722
Practice Address - Country:US
Practice Address - Phone:202-865-4164
Practice Address - Fax:202-865-4164
Is Sole Proprietor?:No
Enumeration Date:2008-08-20
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101251378207V00000X
MI4301092953207V00000X
DCMD041443207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1881841989Medicaid
VA1881841989Medicaid