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Individual

TYNESSA W HAZELWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2006 HEALTH CAMPUS DR, ROCKINGHAM, VA 22801-8679
(540) 689-7400
Mailing address
2006 HEALTH CAMPUS DR, ROCKINGHAM, VA 22801-8679
(540) 689-7400

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008723
VA
363A00000X
Physician Assistant

Other

Enumeration date
01/07/2022
Last updated
08/26/2022
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