Individual
ROBERT H HAZELRIGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1303 AZALEA CT, SUITE C, MYRTLE BEACH, SC 29577-5765
(843) 692-0570
Mailing address
1303 AZALEA CT, SUITE C, MYRTLE BEACH, SC 29577-5765
(843) 692-0570
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
32780
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
327809
—
SC
Enumeration date
07/07/2010
Last updated
06/24/2016
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