Provider Demographics
NPI:1821049263
Name:HAYES, LLOYD EUGENE SR (MD)
Entity Type:Individual
Prefix:
First Name:LLOYD
Middle Name:EUGENE
Last Name:HAYES
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 INDEPENDENCE PT
Mailing Address - Street 2:SUITE 212
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-4545
Mailing Address - Country:US
Mailing Address - Phone:864-797-6044
Mailing Address - Fax:
Practice Address - Street 1:890 W FARIS RD
Practice Address - Street 2:SUITE 580
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-4247
Practice Address - Country:US
Practice Address - Phone:864-455-7874
Practice Address - Fax:864-455-8933
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6239207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00801524OtherRR MEDICARE
SC576007863082OtherBLUE CHOICE OF SC
SC062390Medicaid
SC290010431OtherRR MEDICARE
SC1446570OtherCIGNA
SC4577629OtherAETNA
SC576007863082OtherBCBS OF SC
SC576007863082OtherBLUE CHOICE OF SC
SC062390Medicaid
SCD183187951Medicare PIN