Individual
SHAINA CONTIGIANI HAZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 WHITCHER ST NE STE 130, MARIETTA, GA 30060-1156
(770) 428-0462
(770) 427-8001
Mailing address
3104 BLUE LAKE DR STE 110, VESTAVIA, AL 35243-2372
(205) 977-1949
(205) 977-1933
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9273
GA
363A00000X
Physician Assistant
PAT9108929
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0244973-00
—
FL
Enumeration date
08/04/2015
Last updated
11/14/2023
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