Doctor Name: | DR. VIRGIL M. HARDIN |
NPI Number: | 1992039283 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 009156 |
Business Practice Address: | 4275 Owens Rd Apt. 518 Evans, GA - 308093066 |
Business Phone Number: | 7066501002 |
Business Fax Number: | |
Mailing Address: | 4275 Owens Rd, Apt. 518 EVANS |
State: | GA |
Postal Code: | 308093066 |
Phone Number: | 7066501002 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2009 |
NPI Last Update Date: | 09/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 009156 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |