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Individual

HAZEL BLAYLOCK-LAWSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
501 W ONEIDA ST, WAYCROSS, GA 31501-5337
(912) 283-3046
(912) 283-9289
Mailing address
501 W ONEIDA ST, WAYCROSS, GA 31501-5337
(912) 285-0053
(912) 283-9289

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002498
GA

Other

Enumeration date
07/13/2006
Last updated
12/22/2009
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