# CHARLES E. HARDIN, JR. M.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326396797
- **Authorized official:** DEBBIE WEST (OFFICE MANAGER)
- **Authorized official phone:** (606) 349-1909

## Contact information

- **Practice address:** 787 PARKWAY DRIVE, HARDIN MEDICAL PLAZA, SALYERSVILLE, KY 41465-0088
- **Practice address phone:** (606) 349-1909
- **Practice address fax:** (606) 349-8088
- **Mailing address:** PO BOX 88, SALYERSVILLE, KY 41465-0088
- **Mailing address phone:** (606) 349-1909
- **Mailing address fax:** (606) 349-1909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 22756 | KY | Yes |

## Other

- **Enumeration date:** 08/16/2012
- **Last updated:** 08/16/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 64227564 | — | KY |
| 05 | — | 7100177840 | — | KY |