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BENJAMIN JACOB HAZEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1364 CLIFTON ROAD, NE, OFFICE OF SURGICAL EDUCATION, SUITE H100, ATLANTA, GA 30322
(404) 727-0093
(404) 712-0561
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
99471
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/08/2018
Last updated
02/11/2026
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