MEDICARE: DR. STEVEN T. HAYWOOD M.D.

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	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	55305	TN

General Provider Information

NPI Number	:	1992182224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN T. HAYWOOD M.D.

Provider Business Mailing Address
First Line	:	2707 SAINT LAWRENCE RD
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37421-5025
Country	:	US
Telephone Number	:	276-619-1343
Fax Number	:

Provider Business Practice Location Address
First Line	:	1120 SKYLINE DR
Second Line	:
City	:	JOHNSON CITY
State	:	TN
Zip	:	37604-3779
Country	:	US
Telephone Number	:	276-619-1343
Fax Number	:

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

Provider Enumeration Date	:	05/06/2015
Last Update Date	:	05/10/2018

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