Provider Demographics
NPI:1881688208
Name:HAYES, DAVID HOYT (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:HOYT
Last Name:HAYES
Suffix:
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:PO BOX 744365
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-4365
Mailing Address - Country:US
Mailing Address - Phone:770-676-7398
Mailing Address - Fax:404-855-4243
Practice Address - Street 1:5425 PEACHTREE PKWY
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30092-6536
Practice Address - Country:US
Practice Address - Phone:770-676-7398
Practice Address - Fax:404-855-4243
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2018-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ1622208600000X
GA062046208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
H39422Medicare UPIN