Individual
DR. NICHOLAS JACKSON HARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-2795
(802) 847-9644
Mailing address
20 TREE HILL RD, WILLISTON, VT 05495-9041
(802) 878-8458
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
042-0005931
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00048301
—
VT
05
—
00787444
—
NY
Enumeration date
07/05/2006
Last updated
07/08/2007
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