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Individual
MICHAEL WAYNE HARDEE
Active
Individual
MICHAEL WAYNE HARDEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2000-00816
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02629
BLUE CROSS BLUE SHEILD
NC
01
—
2281030
MEDICARE PTAN
NC
01
—
3974316
CIGNA
NC
05
—
891267W
—
NC
Enumeration date
10/03/2005
Last updated
01/04/2012
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