Individual
HAZEL E MEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
714 NW BROAD STREET, LYONS, GA 30436-0008
(912) 526-8108
(912) 526-6504
Mailing address
PO BOX 308, LYONS, GA 30436-0308
(912) 526-8108
(912) 526-6504
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN029227
GA
363L00000X
Nurse Practitioner
Primary
RN029227
GA
Other
Enumeration date
07/05/2006
Last updated
01/28/2008
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