Search › Mississippi › 122300000X
Ollie Hardaway, D.D.S
NPI 1063539138 · on the registry since 2007
Practice
- Address
- 154 Cottonwood Street
Vicksburg, MS 39180 - Phone
- (662) 873-4593
- Fax
- (662) 873-4112
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 1223G0001X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-12-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi