Individual
MR. DAVID ANTHONY HARDWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSRS RRA RPA RT R
Contact information
Practice address
901 N BROAD ST NE, ROME, GA 30161-5201
(217) 620-1634
Mailing address
901 N BROAD ST NE, ROME, GA 30161-5201
(706) 291-2661
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
283788
GA
243U00000X
Radiology Practitioner Assistant
—
IL
247100000X
Radiologic Technologist
500498087
IL
Other
Enumeration date
08/11/2008
Last updated
09/06/2023
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