Individual
CAROLYN CHISM HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5815 E SHELBY DR, MEMPHIS, TN 38141-6973
(901) 779-2010
Mailing address
5815 E SHELBY DR, MEMPHIS, TN 38141-6973
(901) 277-5551
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/28/2024
Last updated
09/28/2024
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