Individual
JAMES THORTON HAYDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1217 W FAYETTE ST, BALTIMORE, MD 21223-1938
(410) 987-3342
Mailing address
351 BROADVIEW LN, ANNAPOLIS, MD 21401-7238
(443) 797-3933
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
A00645
MD
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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