Individual
AMY JO HARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1204 N MAIN ST, MARION, VA 24354-4312
(276) 783-2511
(276) 783-2532
Mailing address
1204 N MAIN ST, MARION, VA 24354-4312
(276) 783-2511
(276) 783-2532
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101237020
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010088577
—
VA
01
—
146918
ANTHEM BC PROVIDER NUMBER
VA
01
—
321590
SOUTHERN HEALTH PROVIDER
VA
01
—
TN0102
JOHN DEERE PROVIDER NO.
VA
Enumeration date
05/10/2006
Last updated
05/22/2012
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