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NPI Code Detail

MEDICARE: MR. THOMAS JAMES HARDY JR. OWNER

MEDICARE: MR. THOMAS JAMES HARDY JR. OWNER
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
1347E00000XTransportation Broker
2343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1083031512
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. THOMAS JAMES HARDY JR. OWNER
Provider Business Mailing Address
First Line : 445 DEXTER AVE STE 4050
Second Line :
City : MONTGOMERY
State : AL
Zip : 36104-3867
Country : US
Telephone Number : 334-669-0501
Fax Number : 334-777-2290
Provider Business Practice Location Address
First Line : 445 DEXTER AVE STE 4050
Second Line :
City : MONTGOMERY
State : AL
Zip : 36104-3867
Country : US
Telephone Number : 334-669-0501
Fax Number : 334-777-2290
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2014
Last Update Date : 01/09/2019

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