Provider Demographics
NPI:1861705972
Name:JOYCE P. HAIR, M.D. LTD.
Entity type:Organization
Organization Name:JOYCE P. HAIR, M.D. LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:P
Authorized Official - Last Name:HAIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-698-7160
Mailing Address - Street 1:307 MAPLE AVE W
Mailing Address - Street 2:SUITE C
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-4307
Mailing Address - Country:US
Mailing Address - Phone:703-698-7160
Mailing Address - Fax:703-281-7313
Practice Address - Street 1:307 MAPLE AVE W
Practice Address - Street 2:SUITE C
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-4307
Practice Address - Country:US
Practice Address - Phone:703-698-7160
Practice Address - Fax:703-281-7313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-18
Last Update Date:2010-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
D09403Medicare UPIN
159943Medicare PIN