Individual
GREGORY D HARDEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 HIGHLAND AVE SE, SUITE 455, ROANOKE, VA 24013-2256
(540) 985-9910
(540) 985-9916
Mailing address
102HIGHLAND AVE SE, SUITE 455, ROANOKE, VA 24013
(540) 985-9910
(540) 985-9916
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101036158
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006252800
—
VA
01
—
0338563
ANTHEM
VA
Enumeration date
10/04/2006
Last updated
01/03/2012
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