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Individual

CHARLES R HAYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
188 HOSPITAL LN, JELLICO, TN 37762
(800) 944-7252
Mailing address
PO BOX 601570, CHARLOTTE, NC 28260-1570
(615) 620-2321

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN11012
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4113350
IND BC NUMBER
TN
05
74011008
KY
Enumeration date
11/10/2006
Last updated
07/12/2018
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