| Doctor Name: | MS. VICKI HARDY |
| NPI Number: | 1053534669 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | 2008-00988 |
| Business Practice Address: | 405 S Main St Raeford, NC - 283763222 |
| Business Phone Number: | 9106155800 |
| Business Fax Number: | 9108750309 |
| Mailing Address: | Po Box 40908, FAYETTEVILLE |
| State: | NC |
| Postal Code: | 283090908 |
| Phone Number: | 9106156448 |
| Fax Number: | 9106155070 |
| NPI Enumeration Date: | 04/11/2007 |
| NPI Last Update Date: | 04/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 305R00000X |
| License Number: | 2008-00988 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Preferred Provider Organization |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |