Individual
DR. JOHN CALVIN HARDIN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 FAIRFIELD AVE, #105, SHREVEPORT, LA 71101-4443
(318) 424-2192
(318) 424-2595
Mailing address
1801 FAIRFIELD AVE, #105, SHREVEPORT, LA 71101-4443
(318) 424-2192
(318) 484-2595
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
061835
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1352781
—
LA
Enumeration date
09/22/2005
Last updated
06/08/2012
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