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Organization
HARDY HOUSE YOUR FAMILY HEALTHCARE PROVIDER, PLLC
Active
Organization
HARDY HOUSE YOUR FAMILY HEALTHCARE PROVIDER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATONYA S HARDY DNP (DOCTOR OF NURSING PRACTICE/OWNER)
(901) 748-5308
Entity
Organization
Contact information
Practice address
2747 BARTLETT BLVD, BARTLETT, TN 38134-4580
(901) 748-5308
(901) 529-7716
Mailing address
4165 PINE HILL CV N, LAKELAND, TN 38002-8111
(901) 229-1787
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
NULL
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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