Individual
JOHNNIE C HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
990 MOUNT ZION RD, OXFORD, GA 30054-4023
(770) 380-8994
(800) 781-1997
Mailing address
990 MOUNT ZION RD, OXFORD, GA 30054-4023
(770) 380-8994
(800) 781-1997
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
GA
Other
Enumeration date
04/29/2020
Last updated
09/01/2022
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