Individual
TED GENE HARDEN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1223 HIGHWAY 42, STE 140, PETAL, MS 39465-2843
(601) 450-2260
(601) 450-2264
Mailing address
100 HOSPITAL DR W, HATTIESBURG, MS 39402-1334
(601) 268-5910
(601) 264-0659
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
786
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04508001
—
MS
Enumeration date
08/30/2007
Last updated
05/01/2008
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