MEDICARE: DAVID H. HAYES, M.D., L.L.C.

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	261Q00000X	Clinic/Center	MD.25124	AL

General Provider Information

NPI Number	:	1114055795
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID H. HAYES, M.D., L.L.C.

Provider Business Mailing Address
First Line	:	806 GLOVER AVE
Second Line	:	SUITE B
City	:	ENTERPRISE
State	:	AL
Zip	:	36330-2018
Country	:	US
Telephone Number	:	334-347-0991
Fax Number	:	334-347-1805

Provider Business Practice Location Address
First Line	:	806 GLOVER AVE
Second Line	:	SUITE B
City	:	ENTERPRISE
State	:	AL
Zip	:	36330-2018
Country	:	US
Telephone Number	:	334-347-0991
Fax Number	:	334-347-1805

Authorized Official
Title or Position	:	GENERAL SURGEON
Name	:	DR. DAVID H. HAYES
Credential	:	M.D.
Telephone Number	:	334-347-0991

Provider Enumeration Date	:	03/02/2007
Last Update Date	:	11/05/2007

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