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Individual

CHARLES R HAYDEN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
12729
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009932447
AL
01
051531159
BCBS
AL
01
260027948
RR MEDICARE
AL
Enumeration date
03/03/2008
Last updated
10/21/2015
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