Individual
JAMES CARLTON HARDWICK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4215 15TH ST, GULFPORT, MS 39501
(228) 863-5211
(228) 863-4101
Mailing address
PO BOX 1810, GULFPORT, MS 39502
(228) 575-1194
(228) 575-1735
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
17874
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1575534
—
LA
Enumeration date
11/10/2005
Last updated
10/26/2023
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