Individual
DR. MICHAEL HARDEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 HOSPITAL SOUTH DR, SUITE 409, AUSTELL, GA 30106-6810
(770) 424-6893
(770) 528-9924
Mailing address
55 WHITCHER ST NE, SUITE 350, MARIETTA, GA 30060-1155
(770) 424-6893
(770) 528-9938
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
057634
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
450825074E
—
GA
05
—
450825074K
—
GA
05
—
450825074M
—
GA
05
—
450825074N
—
GA
05
—
450825074O
—
GA
Enumeration date
09/15/2005
Last updated
12/02/2019
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