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HAZLEHURST PRIMARY CARE, PC
NPI 1497935407
Specialist in Hazlehurst, GA

Active since November 07, 2007
17 JOHNSON ST, HAZLEHURST, GA 31539(912) 375-5507(912) 375-2172 Get Directions Write a Review

NPPES record last updated: November 7, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hazlehurst Primary Care, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAZLEHURST PRIMARY CARE, PC (NPI 1497935407) is a healthcare organization registered as a specialist in Hazlehurst, Georgia and active in the NPI registry since November 2007. The organization lists Shelly Harrell, Director, as its authorized official.

NPPES Registry Identity

NPI1497935407
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameHAZLEHURST PRIMARY CARE, PC
Location Address17 JOHNSON STHazlehurst, GA 31539-6243
Mailing AddressPo Box 647Hazlehurst, GA 31539-0647 · (912) 375-5507 · Fax (912) 375-2172
Phone(912) 375-5507
Fax(912) 375-2172
Organization SubpartNo
Authorized OfficialShelly HarrellDirector · (912) 538-5508
Enumeration DateNovember 7, 2007
✔ NPI 1497935407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
17 JOHNSON ST, Hazlehurst, GA 31539
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRH PHYSICIAN PRACTICES LLC
Internal Medicine
17 JOHNSON ST
HAZLEHURST, GA 31539
Jeff Davis County (912) 375-7005
ORTHOPEDIC SURGEONS OF GEORGIA LLC
Orthopaedic Surgery
17 JOHNSON ST
HAZLEHURST, GA 31539
Jeff Davis County (912) 375-7005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hazlehurst Primary Care, PC's NPI number?

The NPI number for Hazlehurst Primary Care, PC is 1497935407. It was assigned to this organization in the NPPES registry on November 7, 2007.

Where is Hazlehurst Primary Care, PC located?

Hazlehurst Primary Care, PC is located at 17 Johnson St, Hazlehurst, GA 31539. The listed phone number is (912) 375-5507.

What is Hazlehurst Primary Care, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Hazlehurst Primary Care, PC was last updated on November 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.