Individual
DR. ALICE MANSELL HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
209 W SPRING ST, SUITE 300, SYLACAUGA, AL 35150-2973
(256) 208-0060
(256) 208-0755
Mailing address
209 W. SPRING STREET, SUITE300, SYLACAUGA, AL 35150
(256) 208-0060
(256) 208-0755
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
00025409
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171777
—
AL
05
—
171934
—
AL
01
—
511-63551
BCBS
AL
01
—
511-63604
BCBS CHELSEA
AL
Enumeration date
10/09/2005
Last updated
10/08/2015
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