Provider Demographics
NPI:1235229584
Name:HARDY, ALLAN LLOYD (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:LLOYD
Last Name:HARDY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 388
Mailing Address - Street 2:
Mailing Address - City:FISHERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22939-0388
Mailing Address - Country:US
Mailing Address - Phone:540-332-5162
Mailing Address - Fax:540-332-5875
Practice Address - Street 1:70 MEDICAL CENTER CIR
Practice Address - Street 2:SUITE 302
Practice Address - City:FISHERSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22939-2273
Practice Address - Country:US
Practice Address - Phone:540-245-7350
Practice Address - Fax:540-245-7359
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-14
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA064648207RG0100X
VA0101238376207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology