Doctor Name: | GAIL HAYDEN |
NPI Number: | 1023423480 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R. EEG/EP T., CNIM |
License Number: | |
Business Practice Address: | 700 Sillycook Trl Clarkesville, GA - 305231158 |
Business Phone Number: | 4042456025 |
Business Fax Number: | |
Mailing Address: | 700 Sillycook Trl, CLARKESVILLE |
State: | GA |
Postal Code: | 305231158 |
Phone Number: | 4042456025 |
Fax Number: | |
NPI Enumeration Date: | 06/24/2014 |
NPI Last Update Date: | 06/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246ZE0600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | Electroneurodiagnostic |
Taxonomy Definition: |