MEDICARE: MARY EMERSON HAYES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	001016324	NC

General Provider Information

NPI Number	:	1083430573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY EMERSON HAYES

Provider Business Mailing Address
First Line	:	202 CHESTNUT ST
Second Line	:
City	:	LEXINGTON
State	:	NC
Zip	:	27292-2316
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	915 N GREENSBORO ST
Second Line	:
City	:	LEXINGTON
State	:	NC
Zip	:	27292-2699
Country	:	US
Telephone Number	:	336-242-2300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2024
Last Update Date	:	04/07/2026

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Directions to “ MARY EMERSON HAYES ” Practice Location

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