Renee M Hazelton, PA-C
Physician Assistant in Statesville, NC. Individual provider (NPI-1).
NPI number1881708006
StatusActive
Last updated in NPPESNov 25, 2024
Details
- NPI
- 1881708006
- Entity type
- Individual (NPI-1)
- Name
- Renee M Hazelton
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 17, 2006
- Certification date
- Nov 25, 2024
- Last updated
- Nov 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 103441 | NC | Yes |
| 363A00000X | Physician Assistant | 25MP00131400 | NJ |
Practice location
152 Sherlock DrStatesville, NC 28625-1916
Phone 704-838-8210 · Fax 704-924-5359
Mailing address
Po Box 1845Statesville, NC 28687-1845
Phone 704-838-8210 · Fax 704-924-5359
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All 59 Physician Assistant providers in Statesville · All 1,812 providers in Statesville
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