Individual
DUSTY HARDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6201 LAKE OCONEE PKWY, GREENSBORO, GA 30642-6410
(304) 932-9372
Mailing address
6201 LAKE OCONEE PKWY, GREENSBORO, GA 30642-6410
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH032072
GA
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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