Provider Demographics
NPI:1225619489
Name:HAYDEN, ADAM THOMAS (DC)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:THOMAS
Last Name:HAYDEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 BEN SAWYER BLVD STE M
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-4581
Mailing Address - Country:US
Mailing Address - Phone:843-972-8667
Mailing Address - Fax:843-620-1285
Practice Address - Street 1:1220 BEN SAWYER BLVD STE M
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-4581
Practice Address - Country:US
Practice Address - Phone:843-972-8667
Practice Address - Fax:843-620-1285
Is Sole Proprietor?:No
Enumeration Date:2021-04-19
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4667111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor