Provider Demographics
NPI:1689852469
Name:HAYES, TAMARA LYNETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:TAMARA
Middle Name:LYNETTE
Last Name:HAYES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:TAMARA
Other - Middle Name:LYNETTE
Other - Last Name:WATSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:204 BOYDS COVE CT
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7315
Mailing Address - Country:US
Mailing Address - Phone:410-841-0040
Mailing Address - Fax:
Practice Address - Street 1:204 BOYDS COVE CT
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7315
Practice Address - Country:US
Practice Address - Phone:410-841-0040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-05
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0067030207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology