Individual
HAZEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOA
Contact information
Practice address
704 EAST CENTER STREET, ROSE HILL, NC 28458-0820
(910) 282-0190
Mailing address
PO BOX 820, ROSE HILL, NC 28458-0820
(910) 282-0190
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/18/2009
Last updated
06/15/2010
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