Provider Demographics
NPI:1073210613
Name:HARDY, HANNAH DEVER (DC)
Entity Type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:DEVER
Last Name:HARDY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10240 RILLRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-5072
Mailing Address - Country:US
Mailing Address - Phone:804-896-2200
Mailing Address - Fax:
Practice Address - Street 1:11800 NORTHFALL LN STE 1402
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-7976
Practice Address - Country:US
Practice Address - Phone:678-353-6840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-14
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR010967111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor