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NPI Code Detail

MEDICARE: ROBERT TAULBEE HAZEL RN

MEDICARE: ROBERT TAULBEE HAZEL RN
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
1163W00000XRegistered NurseRN295915GA

General Provider Information

NPI Number : 1720943848
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT TAULBEE HAZEL RN
Provider Business Mailing Address
First Line : 2898 PAULS WAY
Second Line :
City : MARIETTA
State : GA
Zip : 30062-1463
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 450 NORTHSIDE CHEROKEE BLVD
Second Line :
City : CANTON
State : GA
Zip : 30115-8015
Country : US
Telephone Number : 770-224-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2025
Last Update Date : 12/20/2025

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