Provider Demographics
NPI:1316901788
Name:HARDIN, JEFFREY M (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:M
Last Name:HARDIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1869
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-1869
Mailing Address - Country:US
Mailing Address - Phone:828-687-5616
Mailing Address - Fax:828-650-8076
Practice Address - Street 1:50 HOSPITAL DR STE 3B
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-5245
Practice Address - Country:US
Practice Address - Phone:828-687-0088
Practice Address - Fax:828-684-6693
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD431809207RC0000X, 207UN0901X
NC200001592207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1019705200001Medicaid
NC135YEOtherBCBS NC
NCD1327OtherMEDCOST
NC804007OtherPARTNERS MEDICARE
NC89135YEMedicaid
NC7160504OtherAETNA
NC7160504OtherAETNA
NC135YEOtherBCBS NC
NC2021645Medicare ID - Type UnspecifiedMEDICARE