Healthcare Provider Details

I. General information

NPI: 1225619489
Provider Name (Legal Business Name): ADAM THOMAS HAYDEN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2021
Last Update Date: 12/04/2024
Certification Date: 12/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3725 HIGHWAY 196 S STE C
PIPERTON TN
38017-5298
US

IV. Provider business mailing address

3725 HIGHWAY 196 S STE C
PIPERTON TN
38017-5298
US

V. Phone/Fax

Practice location:
  • Phone: 901-457-7059
  • Fax:
Mailing address:
  • Phone: 901-457-7059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3778
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: