Individual
DR. DURWARD STANLEY HARTNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 MEADOWBROOK RD APT 48, JACKSON, MS 39206-6109
(601) 927-3404
Mailing address
1200 MEADOWBROOK RD APT 48, JACKSON, MS 39206-6109
(601) 927-3404
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05618
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115727
—
MS
Enumeration date
04/08/2006
Last updated
04/29/2025
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