Provider Demographics
NPI:1629192968
Name:HAYES, PAUL WAYNE (DC)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:WAYNE
Last Name:HAYES
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 1:4001 SEQUOIA TRL
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-5184
Mailing Address - Country:US
Mailing Address - Phone:931-486-9081
Mailing Address - Fax:931-486-9081
Practice Address - Street 1:4001 SEQUOIA TRL
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:TN
Practice Address - Zip Code:37174-5184
Practice Address - Country:US
Practice Address - Phone:931-486-9081
Practice Address - Fax:931-486-9081
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN353111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0900XChiropractic ProvidersChiropractorInternist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4986390001OtherCMS DME SUPPLIER # 4986390001
TN4075650OtherBCBC PROVIDER NUMBER
TN4986390001OtherCMS DME SUPPLIER # 4986390001