Provider Demographics
NPI:1083031512
Name:HARDY, THOMAS JAMES JR (OWNER)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:JAMES
Last Name:HARDY
Suffix:JR
Gender:M
Credentials:OWNER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:445 DEXTER AVE STE 4050
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36104-3867
Mailing Address - Country:US
Mailing Address - Phone:334-669-0501
Mailing Address - Fax:334-777-2290
Practice Address - Street 1:445 DEXTER AVE STE 4050
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36104-3867
Practice Address - Country:US
Practice Address - Phone:334-669-0501
Practice Address - Fax:334-777-2290
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-21
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347E00000XTransportation ServicesTransportation Broker