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Individual

DR. WOLANDA PATRICE HARDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
10 HUNTINGTON RD, SUITE A2, ATHENS, GA 30606-3187
(706) 543-7262
Mailing address
10 HUNTINGTON RD, SUITE A2, ATHENS, GA 30606-3187
(706) 543-7262

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
11903
GA
1223G0001X
General Practice Dentistry
Primary
11903
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000971363A
GA
Enumeration date
03/22/2007
Last updated
12/13/2016
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