Healthcare Provider Details

I. General information

NPI: 1497542187
Provider Name (Legal Business Name): STEPHANIE HAYES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2025
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL CENTER BLVD SURGERY OUTPATIENT CLINIC 5TH JANEWAY TOWER
WINSTON SALEM NC
27157-0001
US

IV. Provider business mailing address

1 MEDICAL CENTER BLVD SURGERY OUTPATIENT CLINIC 5TH JANEWAY TOWER
WINSTON SALEM NC
27157-0001
US

V. Phone/Fax

Practice location:
  • Phone: 336-716-0423
  • Fax: 336-716-5537
Mailing address:
  • Phone: 336-716-0423
  • Fax: 336-716-5537

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: