Individual
DR. JASON LEE HARDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501-4294
(931) 783-2222
Mailing address
1776 HICKORY CV, COOKEVILLE, TN 38506-6385
(865) 696-6871
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
47339
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1527496
—
TN
01
—
P00708237
RAILROAD MEDICARE
—
Enumeration date
06/21/2007
Last updated
02/03/2017
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