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Individual

NATHAN R HAYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, PA-C

Contact information

Practice address
149 NORTH ST, MGHA HOSPITALIST PROGRAM, WATERVILLE, ME 04901-4974
(207) 872-1651
(207) 872-1743
Mailing address
149 NORTH ST, MGHA HOSPITALIST PROGRAM, WATERVILLE, ME 04901-4974
(207) 872-1651
(207) 872-1743

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA001093
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
432701999
ME
Enumeration date
06/27/2007
Last updated
09/20/2010
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