Individual
JAMES KEVIN HARDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
335 BILLINGSLEY RD, SUITE 102, CHARLOTTE, NC 28211-1040
(704) 632-8032
(704) 632-8034
Mailing address
335 BILLINGSLEY RD, SUITE 102, CHARLOTTE, NC 28211-1040
(704) 632-8032
(704) 632-8034
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
475
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08097
BCBSNC
NC
05
—
7908097
—
NC
01
—
806670
PARTNERS MEDICARE
NC
Enumeration date
06/12/2006
Last updated
07/08/2007
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