Provider Demographics
NPI:1851300925
Name:MAYS, SPYRIE D (MD)
Entity type:Individual
Prefix:DR
First Name:SPYRIE
Middle Name:D
Last Name:MAYS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 NORTH BLVD
Mailing Address - Street 2:SUITE 340
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-3743
Mailing Address - Country:US
Mailing Address - Phone:225-381-2740
Mailing Address - Fax:225-381-2511
Practice Address - Street 1:3401 NORTH BLVD
Practice Address - Street 2:SUITE 340
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-3743
Practice Address - Country:US
Practice Address - Phone:225-381-2740
Practice Address - Fax:225-381-2511
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-06
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA018962208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAMD.018962OtherMEDICAL LICENSE
LAMD.018962OtherMEDICAL LICENSE
LA55415Medicare ID - Type Unspecified