Individual
DR. RICHARD HAYDEN SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD/MBA
Contact information
Practice address
1350 WALTON WAY, AUGUSTA, GA 30901-2612
(706) 774-5795
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(706) 854-6008
(706) 774-7230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
008931
GA
Other
Enumeration date
08/05/2016
Last updated
09/14/2021
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