Provider Demographics
NPI:1710070461
Name:HARDY CARTWRIGHT, DEBRA KAYE (MD)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:KAYE
Last Name:HARDY CARTWRIGHT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2003 MEDICAL PKWY
Mailing Address - Street 2:STE 300
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401
Mailing Address - Country:US
Mailing Address - Phone:410-266-6035
Mailing Address - Fax:410-266-9284
Practice Address - Street 1:2003 MEDICAL PKWY
Practice Address - Street 2:STE 300
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7992
Practice Address - Country:US
Practice Address - Phone:410-266-6035
Practice Address - Fax:410-266-9284
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0035496207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCG00688Medicare PIN
MDB70026Medicare UPIN
MDKQ48Medicare PIN