Individual
GRADY JONATHAN HARDEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, ATC
Contact information
Practice address
2338 LOMAX CT, CONCORD, NC 28025-9001
(704) 786-4321
Mailing address
2338 LOMAX CT, CONCORD, NC 28025-9001
(704) 786-4321
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1015
NC
Other
Enumeration date
03/12/2008
Last updated
03/12/2008
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