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NPI Code Detail

MEDICARE: DR. BRANDON HARDIN D.C.

MEDICARE:  DR. BRANDON  HARDIN  D.C.
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
1111N00000XChiropractor12463TX
2111N00000XChiropractor1219MS

General Provider Information

NPI Number : 1083042170
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRANDON HARDIN D.C.
Provider Business Mailing Address
First Line : 370 COURTHOUSE RD
Second Line : 101
City : GULFPORT
State : MS
Zip : 39507-1889
Country : US
Telephone Number : 228-241-1000
Fax Number :
Provider Business Practice Location Address
First Line : 370 COURTHOUSE RD
Second Line : 101
City : GULFPORT
State : MS
Zip : 39507-1889
Country : US
Telephone Number : 228-241-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2013
Last Update Date : 04/06/2014

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Directions to “ DR. BRANDON HARDIN D.C.” Practice Location

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