Provider / Organization | NPI | Date Certified |
---|---|---|
WYATT JOHN HAYDEN | 1700465127 | 2021-04-04 |
Wyatt John Hayden is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1700465127. Registration indicates Wyatt John Hayden is a provider of services with a specialization in Emergency Medicine (Allopathic & Osteopathic Physicians, Emergency Medicine) (All Other Specialties & Provider Types, ) (Emergency Medicine, Allopathic & Osteopathic Physicians)
Entity Type | Individual |
Provider Name | Wyatt John Hayden DO |
Practice Office Address | 2100 STANTONSBURG RD GREENVILLE, NC US |
Practice Office Telephone | 2528474100 |
Mailing Address | 2100 STANTONSBURG RD GREENVILLE, NC 278342818 US |
Code | Practice | License No State |
---|---|---|
207P00000X PRIMARY | Emergency Medicine Allopathic & Osteopathic Physicians Emergency Medicine All Other Specialties & Provider Types Emergency Medicine Allopathic & Osteopathic Physicians | NONE
NC |