Healthcare Provider Details

I. General information

NPI: 1003963976
Provider Name (Legal Business Name): BENJAMIN HAYES MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 01/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3098 CAMPBELL STATION PKWY STE A201
SPRING HILL TN
37174-4405
US

IV. Provider business mailing address

3098 CAMPBELL STATION PKWY STE A201
SPRING HILL TN
37174-4405
US

V. Phone/Fax

Practice location:
  • Phone: 615-302-5000
  • Fax: 615-302-5006
Mailing address:
  • Phone: 615-302-5000
  • Fax: 615-302-5006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207NP0225X
TaxonomyPediatric Dermatology Physician
License Number41674
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: