Provider Demographics
NPI:1881039386
Name:HARDY, HASKELL DAVID III (DVM)
Entity Type:Individual
Prefix:DR
First Name:HASKELL
Middle Name:DAVID
Last Name:HARDY
Suffix:III
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 182
Mailing Address - Street 2:
Mailing Address - City:LAURENS
Mailing Address - State:SC
Mailing Address - Zip Code:29360-0182
Mailing Address - Country:US
Mailing Address - Phone:864-200-1047
Mailing Address - Fax:864-682-2898
Practice Address - Street 1:105 RANCH EST
Practice Address - Street 2:
Practice Address - City:LAURENS
Practice Address - State:SC
Practice Address - Zip Code:29360-6208
Practice Address - Country:US
Practice Address - Phone:864-200-1047
Practice Address - Fax:864-682-2898
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-09
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2248174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian