Individual
JEFFREY E. HAZLEWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 PHYSICIANS WAY, SUITE 250, LEBANON, TN 37090-8102
(615) 444-3307
(615) 444-5579
Mailing address
100 PHYSICIANS WAY, SUITE 250, LEBANON, TN 37090-8102
(615) 453-4045
(615) 444-5579
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD0000027823
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3800495
—
TN
01
—
4121917
BCBS
TN
Enumeration date
06/15/2006
Last updated
10/09/2014
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