Hazzard, Matthew Aaron

Hazzard, Matthew Aaron is an individual health care provider with primary practice located at 631 Professional Dr Ste 360 , Lawrenceville GA 30046-3370. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurological Surgery. Allopathic & Osteopathic Physicians / Neurological Surgery is his primary health care specialty. Hazzard, Matthew Aaron can be contacted via phone (678) 312-2700.

Contact Information

Primary practice address
631 Professional Dr Ste 360 Lawrenceville GA 30046-3370
Phone: (678) 312-2700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 074233 Georgia

Profile Details

NPI number 1184858292
LBN Legal business name Hazzard, Matthew Aaron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2009
Last updated Dec 14th, 2020 - about 5 years ago

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 1184858292 NPPES
Georgia MEDICAID 003161954D
Georgia MEDICAID 003161954A
Georgia MEDICAID 003161954C
Georgia Other 8284544
Georgia MEDICAID 003161954E
Georgia MEDICAID 003161954B
Georgia MEDICAID 003161954F
Georgia Other 1143430
Georgia Other 03225408

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