Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 31643 | SC |
Y | 207RP1001X | Pulmonary Disease | 31643 | SC |
N | 207RS0012X | Sleep Medicine | 31643 | SC |
NPI | 1053584888 |
---|---|
Provider Name | Dr. Hafez Hayek |
First Address | Conway, SC 29528-2180 |
Second Address | Conway, SC 29526-8964 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2008 |
Last Update Date | 04/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4505 | (05) | SC |