Individual
DR. JOHN H HAYDEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1619 CAROLINA AVE, ORANGEBURG, SC 29115-4939
(803) 531-7474
(803) 531-7457
Mailing address
PO BOX 1245, ORANGEBURG, SC 29116-1245
(803) 395-4497
(803) 536-0998
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24600
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
423828
MEDICARE RHC
SC
01
—
428926
MEDICARE RHC
SC
05
—
PC4116
—
SC
05
—
RHC020
—
SC
05
—
RHC151
—
SC
Enumeration date
04/21/2006
Last updated
11/18/2009
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