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Individual

ALVIN E HARDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
701 GROVE RD, GREENVILLE, SC 29605-5611
(864) 455-7111
Mailing address
1 INDEPENDENCE PT, STE. 212, GREENVILLE, SC 29615-4545
(864) 797-6306
(864) 797-6198

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
045698
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN 2120
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
AN1386
SC
Enumeration date
08/16/2005
Last updated
03/28/2013
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