Individual
CONNOR ROSE HARDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3724 RALEIGH ROAD PKWY W, WILSON, NC 27896-9742
(252) 246-8840
Mailing address
1222 BUXTON RD NW, WILSON, NC 27896-2003
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-12985
NC
Other
Enumeration date
02/19/2022
Last updated
04/13/2023
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