Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Quentin Hazelwood, MSA

Individual provider Surgical Assistant · NPI 1942009196

Michael Quentin Hazelwood, MSA is a Surgical Assistant in South Boston, Virginia. Licensed in Virginia. Registered with an NPI since 2025.

Licensed in
VA
In the registry since
2025

Practice location Address checks out

2204 Wilborn Ave
South Boston, VA 24592-1645
Phone: (434) 517-3100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 0136000590 (VA)

Record details

NPI number1942009196
Entity typeIndividual (Type 1)
GenderMale
Credentials MSA
Sole proprietorNo
NPI enumeratedMarch 11, 2025
Last updated in NPPESMarch 18, 2025
Certification dateMarch 18, 2025

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