Healthcare Provider Details

I. General information

NPI: 1831187699
Provider Name (Legal Business Name): DEBORAH A HAYS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2005
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 N ASTER ST
GREENWOOD AR
72936-3145
US

IV. Provider business mailing address

PO BOX 17025
FORT SMITH AR
72917-7025
US

V. Phone/Fax

Practice location:
  • Phone: 479-996-4111
  • Fax: 479-484-4793
Mailing address:
  • Phone: 479-274-2000
  • Fax: 479-274-2160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberE1085
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: