Doctor Name: | DR. THOMAS JONATHAN HAYES |
NPI Number: | 1770817108 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 061602 |
Business Practice Address: | Uss Essex Lhd 2 Wardroom Fpo, AP - 966431661 |
Business Phone Number: | 3152523365 |
Business Fax Number: | |
Mailing Address: | 4761 Freeport Bay Ne, ROSWELL |
State: | GA |
Postal Code: | 300755748 |
Phone Number: | 7705529744 |
Fax Number: | |
NPI Enumeration Date: | 10/02/2009 |
NPI Last Update Date: | 10/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 061602 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |