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TIMOTHY J HARDIE

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1912499641

Individual Registrant:
 TIMOTHY J HARDIE 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1014 W FRANKLIN ST  SYLVESTER, GA 31791-1978 US
Tel: 229-776-2965  Fax: --

Contact information for business:
1014 W FRANKLIN ST  SYLVESTER, GA 31791-1978 US
Tel: 229-776-2965  Fax: --

Registration Information:
NPI: 1912499641
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
GARN207244

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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