=====================================================
General NPI Number Information
=====================================================
NPI Number | 1225984560
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DELTA MCSHA HARDY R.T.(R)(ARRT)
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/09/2026
-----------------------------------------------------
Last Update Date | 03/09/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 39A OAK HILL CT
-----------------------------------------------------
City | NEWNAN
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30265-2392
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 678-423-8020
-----------------------------------------------------
Fax | 678-423-8022
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 102 PERCHERON RD
-----------------------------------------------------
City | HOGANSVILLE
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30230-2883
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2471C3402X
-----------------------------------------------------
Taxonomy Name | Radiography Radiologic Technologist
-----------------------------------------------------
License Number | 539258
-----------------------------------------------------
License Number State | GA
-----------------------------------------------------