MEDICARE: MR. ANDREW 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	225100000X	Physical Therapist	11325	OH

General Provider Information

NPI Number	:	1457561235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ANDREW HAYES

Provider Business Mailing Address
First Line	:	7290 EYLER DR
Second Line	:
City	:	SPRINGBORO
State	:	OH
Zip	:	45066-1410
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4704 AUGUSTA RD
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31408-1758
Country	:	US
Telephone Number	:	912-964-4326
Fax Number	:

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

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	01/23/2014

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