Hazel, R Mark

Hazel, R Mark is an individual health care provider with primary practice located at 1315 Jesse Jewell Pkwy Ne Ste 300 , Gainesville GA 30501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Hazel, R Mark can be contacted via phone (770) 848-6190.

Contact Information

Primary practice address
1315 Jesse Jewell Pkwy Ne Ste 300 Gainesville GA 30501
Phone: (770) 848-6190
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD47860 Tennessee
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 073631 Georgia

Profile Details

NPI number 1023025632
LBN Legal business name Hazel, R Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jan 14th, 2023 - about last year

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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