Provider Demographics
NPI:1245055102
Name:NAZER, HAZEM
Entity type:Individual
Prefix:
First Name:HAZEM
Middle Name:
Last Name:NAZER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:785 PRAIRIE LN
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-4246
Mailing Address - Country:US
Mailing Address - Phone:706-750-4932
Mailing Address - Fax:
Practice Address - Street 1:785 PRAIRIE LN
Practice Address - Street 2:
Practice Address - City:EVANS
Practice Address - State:GA
Practice Address - Zip Code:30809-4246
Practice Address - Country:US
Practice Address - Phone:706-750-4932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-16
Last Update Date:2024-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker