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Contact Information

MATTHEW A HAZZARD, MD
631 PROFESSIONAL DR STE 360
LAWRENCEVILLE, GA30046-3370
 Phone: 678-312-2700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MATTHEW A HAZZARD · (Male)

NPI Number 1184858292
Status Active
Credentials MD
Entity Individual
Enumeration date 05/05/2009
Last updated 12/14/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 074233
  • GA Medicaid 003161954A
  • GA Medicaid 003161954B
  • GA Medicaid 003161954C
  • GA Medicaid 003161954D
  • GA Medicaid 003161954E
  • GA Medicaid 003161954F
  • GA Other 03225408 AMERIGROUP
  • GA Other 8284544 CIGNA
  • GA Other 1143430 WELLCARE
Hospital affiliation(s)
  • GWINNETT MEDICAL CENTER - (Acute Care)
    1000 MEDICAL CENTER BOULEVARD
    LAWRENCEVILLE, GA 30045
  • NORTHEAST GEORGIA MEDICAL CENTER INC - (Acute Care)
    743 SPRING STREET
    GAINESVILLE, GA 30501
  • NORTHSIDE HOSPITAL - (Acute Care)
    1000 JOHNSON FERRY ROAD, NE
    ATLANTA, GA 30342
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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