Hardy, Wolanda Patrice
Hardy, Wolanda Patrice is an sole proprietor health care provider with primary practice located at 10 Huntington Rd Suite A2, Athens GA 30606-3187. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Hardy, Wolanda Patrice can be contacted via phone (706) 543-7262.Contact Information
Primary practice address
10 Huntington Rd Suite A2
Athens GA 30606-3187
Phone: (706) 543-7262
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 11903 | Georgia |
| Dental Providers / General Practice | 1223G0001X | 11903 | Georgia |
Profile Details
| NPI number | 1275650764 |
|---|---|
| LBN Legal business name | Hardy, Wolanda Patrice |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Dec 13th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275650764 | NPPES |
| Georgia | MEDICAID | 000971363A |
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