Provider Demographics
NPI:1689898074
Name:HAYES, WILLIAM LLOYD JR (ATC)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:LLOYD
Last Name:HAYES
Suffix:JR
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2140 MEADOWOOD LN
Mailing Address - Street 2:
Mailing Address - City:LONGS
Mailing Address - State:SC
Mailing Address - Zip Code:29568-6523
Mailing Address - Country:US
Mailing Address - Phone:843-399-8400
Mailing Address - Fax:
Practice Address - Street 1:2140 MEADOWOOD LN
Practice Address - Street 2:
Practice Address - City:LONGS
Practice Address - State:SC
Practice Address - Zip Code:29568-6523
Practice Address - Country:US
Practice Address - Phone:843-399-8400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0572255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer