Provider Demographics
NPI:1992118640
Name:HAYS, JAMES ROSS (CPHT-ADV)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ROSS
Last Name:HAYS
Suffix:
Gender:M
Credentials:CPHT-ADV
Other - Prefix:MR
Other - First Name:J
Other - Middle Name:ROSS
Other - Last Name:HAYS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CPHT-ADV
Mailing Address - Street 1:PO BOX 435
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:GA
Mailing Address - Zip Code:31064-0435
Mailing Address - Country:US
Mailing Address - Phone:706-468-6836
Mailing Address - Fax:706-468-1973
Practice Address - Street 1:679 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:GA
Practice Address - Zip Code:31064-1371
Practice Address - Country:US
Practice Address - Phone:706-468-6836
Practice Address - Fax:706-468-1973
Is Sole Proprietor?:No
Enumeration Date:2014-06-10
Last Update Date:2024-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPHTC001847183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician