Healthcare Provider Details

I. General information

NPI: 1093754566
Provider Name (Legal Business Name): DONALD W HAYES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 06/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2116 CHAPEL HILL RD
BIRMINGHAM AL
35216-5106
US

IV. Provider business mailing address

2116 CHAPEL HILL RD
BIRMINGHAM AL
35216-5106
US

V. Phone/Fax

Practice location:
  • Phone: 205-822-8038
  • Fax: 205-822-8040
Mailing address:
  • Phone: 205-822-8038
  • Fax: 205-822-8040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number00245
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: