Individual
DR. BRENDA MOZETTE HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2900 KIRBY RD, SUITE 11, MEMPHIS, TN 38119-8221
(901) 345-4640
(901) 399-7973
Mailing address
2900 KIRBY RD, SUITE 11, MEMPHIS, TN 38119-8221
(901) 345-4640
(901) 399-7973
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD0000020350
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3812313
—
TN
01
—
4041571
BLUECROSS/BLUE SHIELD
TN
Enumeration date
08/01/2006
Last updated
06/29/2012
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