# MICHAEL WAYNE HARDEE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1720075955
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2000-00816 | NC | Yes |

## Other

- **Enumeration date:** 10/03/2005
- **Last updated:** 01/04/2012

## 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 |