Individual
DR. JOHN R. HAZELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4055 HWY. 17 SOUTH, MURRELLS INLET, SC 29576
(843) 652-3939
(843) 652-3939
Mailing address
4055 HWY. 17 SOUTH, P.O. BOX 1919, MURRELLS INLET, SC 29576
(843) 652-3939
(843) 652-3939
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
22986
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
229862
—
SC
05
—
89065C7
—
NC
01
—
P00160285
RAILROAD MEDICARE
SC
Enumeration date
07/25/2006
Last updated
05/02/2008
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