Organization · NPI-2
A Keith Lay Jr MD
Family Medicine · Bay Springs, MS
NPI number1518075720
StatusActive
Last updated in NPPESFeb 12, 2019
Details
- NPI
- 1518075720
- Entity type
- Organization (NPI-2)
- Legal business name
- A Keith Lay Jr MD
- Organization subpart
- No
- Enumeration date
- Aug 28, 2006
- Last updated
- Feb 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Bay Springs After Hours Clinic (Doing Business As)
Practice location
27 S Sixth StBay Springs, MS 39422-9052
Phone 601-764-2143 · Fax 601-764-4890
Mailing address
Po Box 549433 Hwy 18
Bay Springs, MS 39422-0549
Phone 601-764-2155 · Fax 601-764-9667
Authorized official
Marsha G Lay
Practice Manager
6016706295
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