Individual
DEBORAH MORRIS HAZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1451 RIVERSTONE PKWY, CANTON, GA 30114-5624
(770) 720-1042
Mailing address
1105 WOODRIDGE WAY, CANTON, GA 30114-8921
(770) 356-7450
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12032
GA
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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