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NPI Code Detail

MEDICARE: WILLIAM EDWARD HARDWICK JR. M.D.

MEDICARE: WILLIAM EDWARD HARDWICK JR. M.D.
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
1208000000XPediatrics Physician15401AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10004507224OTHERALAETNA PROVIDER NUMBER
2630307306015OTHERALTRICARE PROVIDER NUMBER
351512857OTHERALBLUE CROSS PROVIDER
49324518002OTHERALCIGNA PROVIDER NUMBER
5F936OTHERALBLUE CROSS COMMON PAYER
61210869OTHERALUNITED HEALTHCARE PROVIDE

General Provider Information

NPI Number : 1871512582
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM EDWARD HARDWICK JR. M.D.
Provider Business Mailing Address
First Line : 1936 OLD ORCHARD RD
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35216-2247
Country : US
Telephone Number : 205-978-3200
Fax Number : 205-978-5745
Provider Business Practice Location Address
First Line : 1936 OLD ORCHARD RD
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35216-2247
Country : US
Telephone Number : 205-978-3200
Fax Number : 205-978-5745
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 07/09/2007

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1780874420 — MRS. LESLIE ELIAS CHENEY R.PH.
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