Individual
WARING M HAZLEHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 725-5846
Mailing address
6060 PRIMACY PKWY, SUITE 241, MEMPHIS, TN 38119-5745
(901) 725-5846
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
16289
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050072455
RAILROAD MEDICARE
—
05
—
09232763
—
MS
05
—
115269001
—
AR
05
—
202477212
—
MO
01
—
2611693
CIGNA
—
05
—
3030306
—
TN
01
—
3080535
BLUE CROSS BLUE SHIELD
TN
01
—
90394
BLUE CROSS BLUE SHIELD
AR
Enumeration date
12/15/2005
Last updated
12/20/2016
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