Healthcare Provider Details

I. General information

NPI: 1336058833
Provider Name (Legal Business Name): WHITNEY HARDIE ARTHUR APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: WHITNEY HARDIE

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4061 VINEVILLE AVE
MACON GA
31210-5039
US

IV. Provider business mailing address

4061 VINEVILLE AVE
MACON GA
31210-5039
US

V. Phone/Fax

Practice location:
  • Phone: 478-757-7345
  • Fax:
Mailing address:
  • Phone: 478-757-7345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberAPRN-NP249171
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: