# HAZEL GREEN PRIMARY CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578645396
- **Authorized official:** HEATHER MASON (DIRECTOR OF PHYSICIANS NETWORK)
- **Authorized official phone:** (256) 265-7791

## Contact information

- **Practice address:** 13596 HIGHWAY 231 431 N, SUITE 4, HAZEL GREEN, AL 35750-8617
- **Practice address phone:** (256) 829-0610
- **Practice address fax:** (256) 829-1371
- **Mailing address:** 13596 HIGHWAY 231 431 N, SUITE 4, HAZEL GREEN, AL 35750-8617
- **Mailing address phone:** (256) 829-0610
- **Mailing address fax:** (256) 829-1371

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | AL | Yes |

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 08/22/2020