Hazel, Letitia Marie

Hazel, Letitia Marie is an individual health care provider with primary practice located at 2101 Garner Rd , Raleigh NC 27610-0114. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is her primary health care specialty. Hazel, Letitia Marie can be contacted via phone (919) 787-6131.

Contact Information

Primary practice address
2101 Garner Rd Raleigh NC 27610-0114
Phone: (919) 787-6131
Fax: (919) 571-2932
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 200101342 North Carolina
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 200101342 North Carolina
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 200101342 North Carolina

Profile Details

NPI number 1588641880
LBN Legal business name Hazel, Letitia Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Nov 15th, 2022 - about 2 years 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 1588641880 NPPES
North Carolina Other 130G4 BCBS
North Carolina Other P00192377 BCBS
North Carolina MEDICAID 89130G4 BCBS

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