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Organization

HARDY RENEW WELLNESS,LLC

Active
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Organization

HARDY RENEW WELLNESS,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEANTHONY HARDY MD (OWNER)
(212) 734-6621
Entity
Organization

Contact information

Practice address
838 CANNON RUN SW, MARIETTA, GA 30064-4600
(423) 443-9956
Mailing address
1430 GEORGIA AVE, EAST POINT, GA 30344-4329
(212) 734-6621

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1629053277
NPI
GA
Enumeration date
08/25/2020
Last updated
10/21/2025
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