Provider Demographics
NPI:1831242320
Name:MAY SOUTH, INC.
Entity type:Organization
Organization Name:MAY SOUTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CHIEF EXECUTIVE OFFIC
Authorized Official - Prefix:DR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:P
Authorized Official - Last Name:CHRISTIAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:770-956-8511
Mailing Address - Street 1:280 INTERSTATE NORTH CIR SE STE 430
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-2450
Mailing Address - Country:US
Mailing Address - Phone:770-956-8511
Mailing Address - Fax:770-956-8907
Practice Address - Street 1:280 INTERSTATE NORTH CIR SE STE 430
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-2450
Practice Address - Country:US
Practice Address - Phone:770-956-8511
Practice Address - Fax:770-956-8907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA42793733071OtherGA DHR PROVIDER