MEDICARE: DR. MARK ALAN 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	207RC0000X	Cardiovascular Disease Physician	ME89144	FL
2	207RC0000X	Cardiovascular Disease Physician	35135	NC
3	207UN0901X	Nuclear Cardiology Physician	35135	NC

General Provider Information

NPI Number	:	1912905977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK ALAN HAYES MD

Provider Business Mailing Address
First Line	:	PO BOX 602381
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-2381
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	31 E MEDICAL CT
Second Line	:	SUITE 2
City	:	MARION
State	:	NC
Zip	:	28752-4969
Country	:	US
Telephone Number	:	828-652-0005
Fax Number	:	828-652-0011

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

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	12/06/2016

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