Individual
HARDIE V SORRELS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
715B CASTLE HEIGHTS CT, LEBANON, TN 37087-2646
(629) 255-2083
(629) 255-4251
Mailing address
222 22ND AVE N, NASHVILLE, TN 37203-1852
(629) 255-3486
(629) 255-3075
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
64147
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64147
TN MEDICAL LICENSE
TN
Enumeration date
04/24/2019
Last updated
08/08/2022
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