Individual
MRS. LISA D HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
853 N CHURCH ST, SUITE 701, SPARTANBURG, SC 29303-3098
(864) 560-1650
(864) 560-1655
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20029
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3744
—
SC
Enumeration date
02/29/2016
Last updated
04/12/2022
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