MEDICARE: MARK D HAYS MD PLLC

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	2080P0202X	Pediatric Cardiology Physician

General Provider Information

NPI Number	:	1700601184
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARK D HAYS MD PLLC

Provider Business Mailing Address
First Line	:	PO BOX 238
Second Line	:
City	:	SODDY DAISY
State	:	TN
Zip	:	37384-0238
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9089 DAYTON PIKE
Second Line	:
City	:	SODDY DAISY
State	:	TN
Zip	:	37379-4313
Country	:	US
Telephone Number	:	423-451-0622
Fax Number	:	423-451-0624

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MARK D HAYS
Credential	:	MD
Telephone Number	:	423-432-7049

Provider Enumeration Date	:	11/20/2024
Last Update Date	:	11/20/2024

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