Mayes, Marc Stephen

Mayes, Marc Stephen is an individual health care provider with primary practice located at 1 Siskin Plz Ste 101, Chattanooga TN 37403-1306. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mayes, Marc Stephen can be contacted via phone (423) 803-2226.

Contact Information

Primary practice address
1 Siskin Plz Ste 101 Chattanooga TN 37403-1306
Phone: (423) 803-2226
Fax: (423) 803-2222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1417 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 005097 Georgia

Profile Details

NPI number 1518028356
LBN Legal business name Mayes, Marc Stephen
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jul 27th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518028356 NPPES
Tennessee MEDICAID 3668464

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