R Mark Hazel
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon
1315 Jesse Jewell Pkwy Ne Ste 300
Gainesville
, Georgia 30501
R Mark Hazel
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon
1315 Jesse Jewell Pkwy Ne Ste 300
Gainesville
, Georgia 30501
(770) 219-8420
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About
Features
Specialties
- Orthopaedic Surgeon
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- R Mark Hazel
- 475 Philip Blvd Ste 100
- Lawrenceville, GA
- Zip : 30046-8736
- Phone : (770) 219-8420
Second Address
- R Mark Hazel
- 1315 Jesse Jewell Pkwy Ne Ste 300
- Gainesville, GA
- Zip : 30501
- Phone : (770) 848-6190
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | 073631 | GA |
| N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | MD47860 | TN |
National Provider Identifier
| NPI | 1023025632 |
|---|---|
| Provider Name | R Mark Hazel |
| First Address | Lawrenceville, GA 30046-8736 |
| Second Address | Gainesville, GA 30501 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/08/2006 |
| Last Update Date | 27/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.