Provider Demographics
NPI:1821151879
Name:BURROWS, HAZEL H (CRNA)
Entity Type:Individual
Prefix:MS
First Name:HAZEL
Middle Name:H
Last Name:BURROWS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 REDBAY RD
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:SC
Mailing Address - Zip Code:29045-8684
Mailing Address - Country:US
Mailing Address - Phone:803-462-6985
Mailing Address - Fax:803-779-1220
Practice Address - Street 1:1220 BLANDING ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-2816
Practice Address - Country:US
Practice Address - Phone:803-779-1200
Practice Address - Fax:803-779-1220
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC31367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered