DR. LETITIA MARIE HAZEL MD NPI 1588641880

NPI Information

NPI: 1588641880
Provider Name: DR. LETITIA MARIE HAZEL, MD
Classification: Family Medicine - 207QA0401X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
2101 GARNER RD
RALEIGH, NC
ZIP 27610
Phone: (919) 787-6131
Get Directions

DR. Letitia Marie Hazel, MD is an addiction medicine family medicine in Raleigh, NC. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. DR. Letitia Marie Hazel, MD NPI is 1588641880. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2101 GARNER RD
RALEIGH, NC
ZIP 27610-114
Phone: (919) 787-6131
Fax: (919) 571-2932

The NPI 1588641880 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/28/2005 and was last updated on 11/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		200101342	NORTH CAROLINA	No
2	2084P0800X	Psychiatry & Neurology	Psychiatry	200101342	NORTH CAROLINA	No
3	207QA0401X	Family Medicine	Addiction Medicine	200101342	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	130G4	OTHER	NORTH CAROLINA	BCBS
2	P00192377	OTHER	NORTH CAROLINA	RR MC
3	89130G4	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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