Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 32317 | NC |
NPI | 1023010493 |
---|---|
Provider Name | James J Hardy |
First Address | Raleigh, NC 27608-1423 |
Second Address | Raleigh, NC 27607-7505 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2005 |
Last Update Date | 31/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8939491 | (05) | NC |
E14821 | (02) | NC |