Jennifer Hardesty


Address: 3557 Blair Cir Ne, Brookhaven, GA 30319-2209

Jennifer Hardesty (NPI# 1326544776, PAC ID# 1254674732) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is QUALIFIED SPEECH LANGUAGE PATHOLOGIST.

Physician Overview

Nation Provider ID (NPI) 1326544776
PAC ID by PECOS 1254674732
Professional Enrollment ID I20190524001851
Full Name Jennifer Hardesty
Address 3557 Blair Cir Ne
Brookhaven
GA 30319-2209
Gender F
Graduation Year 2016
Primary Specialty QUALIFIED SPEECH LANGUAGE PATHOLOGIST
Accepts Medicare Assignment M

Other Locations

Address Phone Organization
3557 Blair Cir Ne, Brookhaven, GA 30319-2209

Organization Information

Office Location

Street Address 3557 BLAIR CIR NE
City BROOKHAVEN
State GA
Zip 30319-2209

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Competitor

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City BROOKHAVEN
Zip Code 30319
Specialty QUALIFIED SPEECH LANGUAGE PATHOLOGIST
City + Specialty BROOKHAVEN + QUALIFIED SPEECH LANGUAGE PATHOLOGIST

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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