Male or Other

R M. Hazel MD

Orthopaedic Surgery Physician in Gainesville, GA(View on Map)

Full Name

R Mark Hazel MD

NPI Number

1023025632

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/03/2006

Specialties

(Taxonomies)

Code

207X00000X
207XX0005X

Primary Taxonomy

Yes
No

Licenses

State

Georgia
Tennessee

License Number

073631
MD47860

Contact
Information

Purpose

Mailing
Location

Address

10600 MEDLOCK BRIDGE RD
1315 JESSE JEWELL PKWY NE STE 300

City

Duluth
Gainesville

State

GA
GA

Postal Code

30097-8404
30501

Country

US
US

Telephone Number

N/A
(770) 848-6190

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

rhazel29485@nghs.gadirect.net

Endpoint Description

Unknown

Use

Direct

Content Type

Unknown

Affiliation

N

Endpoint Location

1315 Jesse Jewell Pkwy NE Ste 300Gainesville, GA30501US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/14/2023

Provider Address

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Chad Muxlow D.O.

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Greg Herzog MD

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