Provider Demographics
NPI:1477801884
Name:HARDIN, RICHARD DUNCAN (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:DUNCAN
Last Name:HARDIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2822 CHEROKEE AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32210-4356
Mailing Address - Country:US
Mailing Address - Phone:904-389-9294
Mailing Address - Fax:904-389-9294
Practice Address - Street 1:2822 CHEROKEE AVE
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32210-4356
Practice Address - Country:US
Practice Address - Phone:904-389-9294
Practice Address - Fax:904-389-9294
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-16
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME48175207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology