Healthcare Provider Details

I. General information

NPI: 1235759531
Provider Name (Legal Business Name): ALEXANDER CARSON HARDY DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2020
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

996 N HALSTEAD RD
OCEAN SPRINGS MS
39564-3107
US

IV. Provider business mailing address

996 N HALSTEAD RD
OCEAN SPRINGS MS
39564-3107
US

V. Phone/Fax

Practice location:
  • Phone: 228-282-8080
  • Fax: 228-282-8018
Mailing address:
  • Phone: 228-282-8080
  • Fax: 228-282-8018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number37679
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: