Provider Demographics
NPI:1245371079
Name:HAIR, JOYCE P (MD)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:P
Last Name:HAIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 MAPLE AVENUE WEST
Mailing Address - Street 2:SUITE C
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180
Mailing Address - Country:US
Mailing Address - Phone:703-698-7160
Mailing Address - Fax:703-281-7313
Practice Address - Street 1:307 MAPLE AVENUE WEST
Practice Address - Street 2:SUITE C
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180
Practice Address - Country:US
Practice Address - Phone:703-698-7160
Practice Address - Fax:703-281-7313
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101029587207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D09403Medicare UPIN
VA159943Medicare ID - Type Unspecified