MEDICARE: AMANDA WOODS HAYES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207X00000X	Orthopaedic Surgery Physician	U3232	TX

General Provider Information

NPI Number	:	1083103717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA WOODS HAYES MD

Provider Business Mailing Address
First Line	:	5601 ARRINGDON PARK DR STE 300
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-5677
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5601 ARRINGDON PARK DR STE 300
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-5677
Country	:	US
Telephone Number	:	855-855-6484
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2018
Last Update Date	:	08/26/2024

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