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Contact Information

JERRY G. MAYES, PSC
828 SOUTH MAIN STREET
LONDON, KY40741
 Phone: 606-878-7251
 Fax: 606-878-1285
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JERRY G MAYES PSC · (Female)

NPI # 1124158894
Status Active
Credentials
Entity Individual
Enumeration date 03/06/2007
Last updated 08/06/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY Medicaid 61900593
  • KY Other 45000395 EPSDT
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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