Provider Demographics
NPI:1639596828
Name:HAYES, IRIS (RN)
Entity Type:Individual
Prefix:
First Name:IRIS
Middle Name:
Last Name:HAYES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 MCCOY LN
Mailing Address - Street 2:
Mailing Address - City:BISHOPVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29010-7527
Mailing Address - Country:US
Mailing Address - Phone:803-428-6617
Mailing Address - Fax:803-484-4580
Practice Address - Street 1:810 BROWN ST.
Practice Address - Street 2:
Practice Address - City:BISHOPVILLE
Practice Address - State:SC
Practice Address - Zip Code:29010
Practice Address - Country:US
Practice Address - Phone:803-484-4180
Practice Address - Fax:804-484-4580
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-25
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC26900163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health