Individual
LINDA HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP--BC
Contact information
Practice address
2660 REIDVILLE RD UNIT 1, SPARTANBURG, SC 29301-3512
(864) 560-6969
(864) 560-9636
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
2593
SC
363LF0000X
Family Nurse Practitioner
F2593
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA46205019
MEDICARE PIN
SC
01
—
AA46206067
MEDICARE PIN
SC
01
—
AA462066121
MEDICARE PIN
SC
01
—
AA46207628
MEDICARE PIN
SC
05
—
NP4665
—
SC
Enumeration date
01/26/2009
Last updated
09/01/2021
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