Provider Demographics
NPI:1003963976
Name:HAYES, BENJAMIN (MD, PHD)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:
Last Name:HAYES
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3098 CAMPBELL STATION PKWY STE A201
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-4405
Mailing Address - Country:US
Mailing Address - Phone:615-302-5000
Mailing Address - Fax:615-302-5006
Practice Address - Street 1:3098 CAMPBELL STATION PKWY STE A201
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:TN
Practice Address - Zip Code:37174-4405
Practice Address - Country:US
Practice Address - Phone:615-302-5000
Practice Address - Fax:615-302-5006
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2010-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN41674207NP0225X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NP0225XAllopathic & Osteopathic PhysiciansDermatologyPediatric Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4155108OtherBCBS