Virgil Hardin

NPI 1992039283 · on the registry since 2009 · sole proprietor

Practice

Address: 4275 Owens Rd
Apt. 518
Evans, GA 30809
Phone: (706) 650-1002
Organisation at this address: Brandon Wilde Llc
Lcs Brandon Wilde Llc
Augusta Resource Center On Aging, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 208D00000X
208D00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-09-20

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 Georgia