Provider Demographics
NPI:1134159114
Name:L. ANDRE HARDY, MD LLC
Entity type:Organization
Organization Name:L. ANDRE HARDY, MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:L
Authorized Official - Middle Name:ANDRE
Authorized Official - Last Name:HARDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-653-3277
Mailing Address - Street 1:57 PEBBLESTONE DR
Mailing Address - Street 2:
Mailing Address - City:RINGGOLD
Mailing Address - State:GA
Mailing Address - Zip Code:30736-2916
Mailing Address - Country:US
Mailing Address - Phone:423-653-3277
Mailing Address - Fax:423-495-7887
Practice Address - Street 1:57 PEBBLESTONE DR
Practice Address - Street 2:
Practice Address - City:RINGGOLD
Practice Address - State:GA
Practice Address - Zip Code:30736-2916
Practice Address - Country:US
Practice Address - Phone:423-653-3277
Practice Address - Fax:423-495-7887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty