Individual
DR. LE ANTHONY ANDRE HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1331 MOUNT ZION RD, MORROW, GA 30260-2357
(770) 629-3217
Mailing address
119 AMBULANCE DR, SUITE 202, CARROLLTON, GA 30117-3857
(770) 838-8824
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
052184
GA
207R00000X
Internal Medicine Physician
39951
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1511186
—
TN
01
—
4327022
BCBS - TENNESSEE
TN
Enumeration date
12/07/2005
Last updated
11/01/2019
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