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NPI Code Detail

MEDICARE: MRS. AFRIKA KALILAH JIMERSON HAYES DDS

MEDICARE: MRS. AFRIKA KALILAH JIMERSON HAYES DDS
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
11223G0001XGeneral Practice Dentistry8653TN

General Provider Information

NPI Number : 1275723421
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AFRIKA KALILAH JIMERSON HAYES DDS
Provider Business Mailing Address
First Line : 2809 CATO RIDGE DR
Second Line :
City : NASHVILLE
State : TN
Zip : 37218-3633
Country : US
Telephone Number : 615-485-2208
Fax Number :
Provider Business Practice Location Address
First Line : 617 S 8TH ST
Second Line :
City : NASHVILLE
State : TN
Zip : 37206-3819
Country : US
Telephone Number : 615-226-1695
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2007
Last Update Date : 12/21/2016

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