Doctor Name: | CARLOS L MAYES |
NPI Number: | 1073722930 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | R.T. |
License Number: | 309584 |
Business Practice Address: | 1670 Clairmont Rd Decatur, GA - 300334004 |
Business Phone Number: | 4043216111 |
Business Fax Number: | |
Mailing Address: | 740 Sidney Marcus Blvd Ne, ATLANTA |
State: | GA |
Postal Code: | 303243194 |
Phone Number: | 4047489291 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 247100000X |
License Number: | 309584 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |