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NPI Code Detail

MEDICARE: JAIME T HAYES MD

MEDICARE: JAIME T 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
1207Q00000XFamily Medicine Physician22310WV

General Provider Information

NPI Number : 1710915574
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAIME T HAYES MD
Provider Business Mailing Address
First Line : 3411 NOYES AVE
Second Line :
City : CHARLESTON
State : WV
Zip : 25304-1351
Country : US
Telephone Number : 304-356-3456
Fax Number :
Provider Business Practice Location Address
First Line : 4605 MACCORKLE AVE SW
Second Line :
City : SOUTH CHARLESTON
State : WV
Zip : 25309-1311
Country : US
Telephone Number : 615-377-5623
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2006
Last Update Date : 03/11/2026

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