Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | MD0000020812 | TN |
NPI | 1003827858 |
---|---|
Provider Name | Dr. William Augustus Hays |
First Address | Cleveland, TN 37312-3699 |
Second Address | Cleveland, TN 37312-3699 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2006 |
Last Update Date | 06/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E81383 | (02) | TN |