G. STEPHEN HAYES, MD, PC
Ambulatory Health at Main St, Jasper, TN

License number
Tennessee MD18240
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: GARY STEPHEN HAYES MD
Title: PRESIDENT
Phone: (423) 942-3756
Address
Address
4896 Main St, Jasper, TN 37347
National Provider ID: 1124256078
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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G. Stephen Hayes, M.D., PC

Jasper, TN 37347

Status:
Inactive
Registration:
Jan 21, 1993
State ID:
903-201
Business type:
Foreign Corporation
Formation place:
Tennessee
Agent:
P O Box Phillips,Bryant, AL 35958 (Physical)
Canceled Date:
May 15, 1998
Service of process:
P O BOX 746 JASPER, TN 37347

Ambulatory Health licenses in Tennessee

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