Provider Demographics
NPI:1295303360
Name:HARDWICK, JOEL (CEP)
Entity type:Individual
Prefix:MR
First Name:JOEL
Middle Name:
Last Name:HARDWICK
Suffix:
Gender:M
Credentials:CEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2076 EXECUTIVE DR
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-8926
Mailing Address - Country:US
Mailing Address - Phone:770-842-7486
Mailing Address - Fax:
Practice Address - Street 1:2001 PEACHTREE RD NE STE 100
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1437
Practice Address - Country:US
Practice Address - Phone:404-605-1966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-15
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist