Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 4456 | NC |
NPI | 1093191421 |
---|---|
Provider Name | Dr. David Hardy |
First Address | Asheville, NC 28803-8598 |
Second Address | Asheville, NC 28803-8598 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2015 |
Last Update Date | 07/08/2015 |