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1689097099
JOHN HARDISTY
DECATUR, AL
NPI
1689097099
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: AL TA.1771)
Enumeration Date
2014-01-22
Last Update Date
2014-01-22
Business Address
-- JOHN HARDISTY M.S., PA-C
1201 7TH ST SE
DECATUR, AL 35601-3337
Phone number: 256-341-3328
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Mailing Address
-- JOHN HARDISTY M.S., PA-C
177 ROSS DR
MOUNTAIN BRK, AL 35213-2547
Phone number: 205-705-9178
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