Healthcare Provider Details

I. General information

NPI: 1033034467
Provider Name (Legal Business Name): CHRISTINA HAYES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINA G MYERS

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 5TH AVE
SALTVILLE VA
24370-3418
US

IV. Provider business mailing address

PO BOX 729
SALTVILLE VA
24370-0729
US

V. Phone/Fax

Practice location:
  • Phone: 276-496-4492
  • Fax: 276-496-0057
Mailing address:
  • Phone: 276-496-4492
  • Fax: 276-496-0057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number0735001422
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: