NPI 1194378695

Jacob L Hardy

Practitioner Driver Greensboro, NC

Practice location

Address: 2714 Stratford Dr, Greensboro, NC 27408-3326
Phone: (347) 336-5971

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1194378695
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jul 2019
Record last updated: 23 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.