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Individual

R. HAYES HANLEY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
635 N WASHINGTON HWY, ASHLAND, VA 23005-1317
(804) 798-9208
(804) 798-8108
Mailing address
635 N WASHINGTON HWY, ASHLAND, VA 23005-1317
(804) 798-9208
(804) 798-8108

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101027003
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005811783
VA
01
110168161
RAILROAD MEDICARE
VA
01
110168787
RAILROAD MEDICARE
VA
01
114642
ANTHEM BCBS OF VA
VA
01
1533238
CIGNA
VA
01
254784
MAMSI
VA
01
4063436
AETNA LIFE
VA
01
45900
SENTARA
VA
01
79175
SOUTHERN HEALTH SERVICES
VA
01
C05704
GROUP PTAN
VA
Enumeration date
06/21/2006
Last updated
01/02/2010
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