Oliver, Thomas Hayden

Oliver, Thomas Hayden is an individual health care provider with primary practice located at 2204 Pavilion Dr Ste 310 , Kingsport TN 37660. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Oliver, Thomas Hayden can be contacted via phone (423) 246-4155.

Contact Information

Primary practice address
2204 Pavilion Dr Ste 310 Kingsport TN 37660
Phone: (423) 246-4155
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 027624 Georgia
Allopathic & Osteopathic Physicians / Urology 208800000X 59904 Tennessee

Profile Details

NPI number 1477534808
LBN Legal business name Oliver, Thomas Hayden
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2005
Last updated Feb 20th, 2024 - about 9 months 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 1477534808 NPPES
Georgia MEDICAID 000363041C

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