Individual provider · Type 1 NPI
John Hardisty, M.S., PA-C
Medical Physician Assistant · Decatur, AL
NPI number
1689097099
Active
Practice location
1201 7th St SE
Decatur, AL 35601-3337
Fax (256) 341-2605
Mailing address
177 Ross Dr
Mountain Brk, AL 35213-2547
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | TA.1771 (AL) |
Medical Physician Assistant: Definition to come...
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About NPI 1689097099
John Hardisty, M.S., PA-C's National Provider Identifier is 1689097099, issued on Jan 22, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Decatur, AL. The record was last updated on Jan 22, 2014.