Provider Demographics
NPI:1427597699
Name:HAYES ENDOCRINE & DIABETES CENTER
Entity type:Organization
Organization Name:HAYES ENDOCRINE & DIABETES CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF HAYES ENDOCRINE & DIABETES
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-320-1620
Mailing Address - Street 1:501 28TH AVE N
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-4001
Mailing Address - Country:US
Mailing Address - Phone:615-320-1620
Mailing Address - Fax:
Practice Address - Street 1:501 28TH AVE N
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-4001
Practice Address - Country:US
Practice Address - Phone:615-320-1620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-21
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN22231261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care