MEDICARE: CAROLYN ADELE HARDIN D.O.

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	207ND0101X	MOHS-Micrographic Surgery Physician	S9985	TX
2	207ND0101X	MOHS-Micrographic Surgery Physician	2025-00469	NC
3	207N00000X	Dermatology Physician	S9985	TX
4	207N00000X	Dermatology Physician	2025-00469	NC

Other Identifiers

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

General Provider Information

NPI Number	:	1922422120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLYN ADELE HARDIN D.O.

Provider Business Mailing Address
First Line	:	2238 NELSON HWY STE 100
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27517-8914
Country	:	US
Telephone Number	:	919-401-1994
Fax Number	:	919-401-1924

Provider Business Practice Location Address
First Line	:	110 PRESTON EXECUTIVE DR STE 100
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27513-8447
Country	:	US
Telephone Number	:	919-653-1344
Fax Number	:	919-401-1924

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2014
Last Update Date	:	02/02/2026

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Directions to “ CAROLYN ADELE HARDIN D.O.” Practice Location

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