Individual
DR. JEFFREY LEE HARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 RIVER RD, GREENWOOD, MS 38930-4030
(662) 459-2613
(662) 459-1159
Mailing address
PO BOX 1410, GREENWOOD, MS 38935-1410
(662) 459-2613
(662) 459-1159
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
11731
MS
207P00000X
Emergency Medicine Physician
Primary
11731
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00015626
—
MS
Enumeration date
10/25/2006
Last updated
08/09/2017
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