Provider Information for 1962101386
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MICHAEL HAYES
Sex: Male
NPI: 1962101386
Last Updated: 2023-02-24
Certification Date: 2023-02-24
Certification Date: 2023-02-24
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1962101386 | ||||||||
| Enumeration Date | 2023-02-24 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1900 CHEROKEE BLUFF DR KNOXVILLE, TN 37920-2251 United States Phone: 727-254-6448 | Fax: | ||||||||
| Primary Practice Address | 6000 WALDEN DR STE 102 KNOXVILLE, TN 37919-6364 United States Phone: 865-247-4431 | Fax: | ||||||||
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