Organization
JEFFREY E. HAZLEWOOD, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY E. HAZLEWOOD M.D. (PRESIDENT)
(615) 444-3307
Entity
Organization
Contact information
Practice address
100 PHYSICIANS WAY, SUITE 250, LEBANON, TN 37090-8102
(615) 444-3307
(615) 444-5579
Mailing address
PO BOX 2149, LEBANON, TN 37088-2149
(615) 444-3307
(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
—
3733565
—
TN
01
—
4121917
BCBS
TN
Enumeration date
06/11/2006
Last updated
03/07/2008
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