Provider Demographics
NPI:1083681514
Name:HAYES, CAULEY W (MD)
Entity Type:Individual
Prefix:DR
First Name:CAULEY
Middle Name:W
Last Name:HAYES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:979 E 3RD ST
Mailing Address - Street 2:SUITE C920
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403-2136
Mailing Address - Country:US
Mailing Address - Phone:423-756-7134
Mailing Address - Fax:423-763-4571
Practice Address - Street 1:979 E 3RD ST
Practice Address - Street 2:SUITE C920
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-2136
Practice Address - Country:US
Practice Address - Phone:423-756-7134
Practice Address - Fax:423-763-4571
Is Sole Proprietor?:No
Enumeration Date:2006-03-03
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN60662086S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNPLF03906636OtherCHAMPUS
TN2005047OtherBCBS
TNTN0107OtherJOHN DEERE INSURANCE
TN0940186OtherUNITED HEALTH CARE
TN1114640001OtherPALMETTO DME
TN2006636OtherBCBS TN GROUP
TN00017135AMedicaid
D70091Medicare UPIN
TN0940186OtherUNITED HEALTH CARE