Individual
ELISABETH KAY HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2587 RAVENHILL DR, FAYETTEVILLE, NC 28303-5451
(910) 323-1543
Mailing address
1437 AULTROY DR, FAYETTEVILLE, NC 28306-3561
(910) 263-8935
(910) 485-6589
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-01327
NC
363A00000X
Physician Assistant
1013
KY
Other
Enumeration date
08/10/2007
Last updated
09/02/2009
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