MEDICARE: DR. GEORGE PANAYIOTIS HATZIGEORGIS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	5841	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235321274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE PANAYIOTIS HATZIGEORGIS MD

Provider Business Mailing Address
First Line	:	PO BOX 130370
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35213
Country	:	US
Telephone Number	:	205-933-8025
Fax Number	:

Provider Business Practice Location Address
First Line	:	1617 11TH AVE S
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35205
Country	:	US
Telephone Number	:	205-933-8025
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2007
Last Update Date	:	08/14/2007

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Directions to “ DR. GEORGE PANAYIOTIS HATZIGEORGIS MD” Practice Location

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