Healthcare Provider Details

I. General information

NPI: 1700601184
Provider Name (Legal Business Name): MARK D HAYS MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2024
Last Update Date: 11/20/2024
Certification Date: 11/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9089 DAYTON PIKE
SODDY DAISY TN
37379-4313
US

IV. Provider business mailing address

PO BOX 238
SODDY DAISY TN
37384-0238
US

V. Phone/Fax

Practice location:
  • Phone: 423-451-0622
  • Fax: 423-451-0624
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MARK D HAYS
Title or Position: OWNER
Credential: MD
Phone: 423-432-7049