Individual
JOHN C HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 SUNSET LN, 1ST FLOOR, ROOM 1108, CULPEPER, VA 22701-3917
(540) 829-4400
(540) 829-5001
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101227224
VA
207RI0011X
Interventional Cardiology Physician
101227224
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005847346
—
VA
01
—
140149
ANTHEM BCBS
VA
05
—
2000115000
—
WV
05
—
837600001
—
MD
01
—
9318661
MEDICARE GROUP
WV
01
—
C00075
MEDICARE GROUP
VA
Enumeration date
01/12/2006
Last updated
11/03/2020
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