Individual
MATTHEW L HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2000 E GREENVILLE ST STE 3700, ANDERSON, SC 29621-1725
(864) 512-1475
Mailing address
2000 E GREENVILLE ST STE 3700, ANDERSON, SC 29621-1725
(864) 512-1475
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
51921
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
519220
—
SC
01
—
SCI3195019
MEDICARE PIN
SC
Enumeration date
04/23/2018
Last updated
01/16/2023
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