Provider Demographics
NPI:1447933858
Name:LINLEY, HAYDEN REED (PA-C)
Entity type:Individual
Prefix:
First Name:HAYDEN
Middle Name:REED
Last Name:LINLEY
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:553 GRAY CIR
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:AL
Mailing Address - Zip Code:35594-5638
Mailing Address - Country:US
Mailing Address - Phone:205-412-2622
Mailing Address - Fax:
Practice Address - Street 1:553 GRAY CIR
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:AL
Practice Address - Zip Code:35594-5638
Practice Address - Country:US
Practice Address - Phone:205-412-2622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-11
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program