Individual
JUDY DIANE HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2687 GRADYS GROUND DR N, MC CONNELLS, SC 29726-6776
(803) 517-1578
Mailing address
2687 GRADYS GROUND DR N, MC CONNELLS, SC 29726-6776
(803) 517-1578
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2001017476
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
3515
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
917477101
—
MO
Enumeration date
10/21/2005
Last updated
04/21/2026
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