Individual
CORRIE HAZELWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1811 DAHLKE DR, CULLMAN, AL 35058-3625
(256) 739-1370
Mailing address
172 MIRANDA RD, WARRIOR, AL 35180
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
931
AL
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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