Jeremy Leonard Hardison
Internist Critical Care Medicine
2011 Tate Springs Rd
Lynchburg
, Virginia 24501-1111
Jeremy Leonard Hardison
Internist Critical Care Medicine
2011 Tate Springs Rd
Lynchburg
, Virginia 24501-1111
(434) 947-5935
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About
Features
Specialties
- Internist
- Critical Care Medicine
Languages spoken
- English
Location
First Address
- Jeremy Leonard Hardison
- 2011 Tate Springs Rd
- Lynchburg, VA
- Zip : 24501-1111
- Fax : (434) 947-5935
- Phone : (434) 947-3963
Second Address
- Jeremy Leonard Hardison
- 2011 Tate Springs Rd
- Lynchburg, VA
- Zip : 24501-1111
- Fax : (434) 947-5935
- Phone : (434) 947-3963
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 2003-00611 | NC |
| N | 111NI0900X | Internist | 2003-00611 | NC |
| Y | 207RC0200X | Critical Care Medicine | 0101239901 | VA |
National Provider Identifier
| NPI | 1073508602 |
|---|---|
| Provider Name | Jeremy Leonard Hardison |
| First Address | Lynchburg, VA 24501-1111 |
| Second Address | Lynchburg, VA 24501-1111 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2005 |
| Last Update Date | 30/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I08130 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.