Individual
LEATHA B HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
303 TIMBER RIDGE DRIVE, RIDGELAND, MS 39157
(601) 832-0520
(601) 898-2379
Mailing address
303 TIMBER RIDGE DRIVE, RIDGELAND, MS 39157
(601) 832-0520
(601) 898-2379
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101008597
MI
Other
Enumeration date
11/18/2008
Last updated
11/18/2008
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