Hardy, Le Anthony Andre

Hardy, Le Anthony Andre is an individual health care provider with primary practice located at 1331 Mount Zion Rd , Morrow GA 30260-2357. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hardy, Le Anthony Andre can be contacted via phone (770) 629-3217.

Contact Information

Primary practice address
1331 Mount Zion Rd Morrow GA 30260-2357
Phone: (770) 629-3217
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 39951 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 052184 Georgia

Profile Details

NPI number 1629053277
LBN Legal business name Hardy, Le Anthony Andre
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Nov 1st, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629053277 NPPES
Tennessee Other 4327022 BCBS - TENNESSEE
Tennessee MEDICAID 1511186 BCBS - TENNESSEE

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