Provider Demographics
NPI:1205183647
Name:HARDIN, JAMES HUGH (RN)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:HUGH
Last Name:HARDIN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 OAKMONT DR
Mailing Address - Street 2:
Mailing Address - City:BOILING SPRINGS
Mailing Address - State:SC
Mailing Address - Zip Code:29316-7207
Mailing Address - Country:US
Mailing Address - Phone:864-431-7088
Mailing Address - Fax:864-345-2299
Practice Address - Street 1:226 OAKMONT DR
Practice Address - Street 2:
Practice Address - City:BOILING SPRINGS
Practice Address - State:SC
Practice Address - Zip Code:29316-7207
Practice Address - Country:US
Practice Address - Phone:864-431-7088
Practice Address - Fax:864-345-2299
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-03
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCR83063251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCR83063OtherNURSING LICENSE