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NPI Code Detail

MEDICARE: DR. GREGORY JACK HARDIN M.D.

MEDICARE: DR. GREGORY JACK HARDIN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist Physician271063NY
2207R00000XInternal Medicine Physician59143KY

General Provider Information

NPI Number : 1457677213
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GREGORY JACK HARDIN M.D.
Provider Business Mailing Address
First Line : 312 S 4TH ST STE 700
Second Line :
City : LOUISVILLE
State : KY
Zip : 40202-3046
Country : US
Telephone Number : 502-804-5495
Fax Number : 833-563-1715
Provider Business Practice Location Address
First Line : 312 S 4TH ST STE 700
Second Line :
City : LOUISVILLE
State : KY
Zip : 40202-3046
Country : US
Telephone Number : 502-804-5495
Fax Number : 833-563-1715
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2010
Last Update Date : 01/30/2026

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