Healthcare Provider Details

I. General information

NPI: 1326469743
Provider Name (Legal Business Name): CURTIS LAMAR HARDY D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2014
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 CLARK ST
CHAPIN SC
29036-8633
US

IV. Provider business mailing address

306 LEXINGTON AVE
CHAPIN SC
29036-8086
US

V. Phone/Fax

Practice location:
  • Phone: 803-233-8668
  • Fax: 619-367-0403
Mailing address:
  • Phone: 803-233-8668
  • Fax: 619-367-0403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number20A19597
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License Number93601
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License NumberDO209078
License Number StateOR
# 4
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number93601
License Number StateSC
# 5
Primary TaxonomyN
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License Number20A19597
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number0102204286
License Number StateVA
# 7
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number93601
License Number StateSC
# 8
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberDO209078
License Number StateOR
# 9
Primary TaxonomyN
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License NumberDO209078
License Number StateOR
# 10
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number20A19597
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: