Hazel, Terrie Lavern

Hazel, Terrie Lavern is an sole proprietor health care provider with primary practice located at 651 Mica Cv , Graniteville SC 29829-3282. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Administrator, Nursing Service Providers / General Practice, Nursing Service Providers / Rehabilitation. Nursing Service Providers / Administrator is her primary health care specialty. Hazel, Terrie Lavern can be contacted via phone (803) 426-3087.

Contact Information

Primary practice address
651 Mica Cv Graniteville SC 29829-3282
Phone: (803) 426-3087
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Administrator 163WA2000X RN179434 Georgia
Nursing Service Providers / General Practice 163WG0000X RN179434 Georgia
Nursing Service Providers / Rehabilitation 163WR0400X RN179434 Georgia

Profile Details

NPI number 1235311911
LBN Legal business name Hazel, Terrie Lavern
Credentials DNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2007
Last updated May 28th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235311911 NPPES
Georgia MEDICAID 000606317B

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