MEDICARE: DAVID E HARDING MD LLC

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
1	207Q00000X	Family Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DE1616	OTHER	AL	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841379195
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID E HARDING MD LLC

Provider Business Mailing Address
First Line	:	3509 WATERMELON RD
Second Line	:
City	:	NORTHPORT
State	:	AL
Zip	:	35473-5174
Country	:	US
Telephone Number	:	205-366-0221
Fax Number	:	205-366-0342

Provider Business Practice Location Address
First Line	:	3509 WATERMELON RD
Second Line	:
City	:	NORTHPORT
State	:	AL
Zip	:	35473-5174
Country	:	US
Telephone Number	:	205-366-0221
Fax Number	:	205-366-0342

Authorized Official
Title or Position	:	PHYSICIAN PRESIDENT
Name	:	DAVID E HARDING
Credential	:	MD
Telephone Number	:	205-366-0221

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	01/06/2016

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Directions to “DAVID E HARDING MD LLC ” Practice Location

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