Hayden, Randall T

Hayden, Randall T is an individual health care provider with primary practice located at 262 Danny Thomas Pl , Memphis TN 38105-3678. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Microbiology, which is considered as his primary health care specialty. Hayden, Randall T can be contacted via phone (901) 595-3006.

Contact Information

Primary practice address
262 Danny Thomas Pl Memphis TN 38105-3678
Phone: (901) 595-3006
Fax: (901) 595-3842
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Microbiology 207ZM0300X 34617 Tennessee

Profile Details

NPI number 1992708028
LBN Legal business name Hayden, Randall T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Sep 28th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992708028 NPPES
Tennessee MEDICAID 3859643

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