Provider Demographics
NPI:1023554011
Name:F. OLIVER HARDY,M.D.,P.C.
Entity Type:Organization
Organization Name:F. OLIVER HARDY,M.D.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN / SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:F.
Authorized Official - Middle Name:OLIVER
Authorized Official - Last Name:HARDY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:901-343-6050
Mailing Address - Street 1:3835 VISCOUNT AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38118-6052
Mailing Address - Country:US
Mailing Address - Phone:901-343-6050
Mailing Address - Fax:
Practice Address - Street 1:3835 VISCOUNT AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38118-6052
Practice Address - Country:US
Practice Address - Phone:901-343-6050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-13
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000012332208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNB03731Medicare UPIN