JOHN HARDISTY

DECATUR, AL
NPI1689097099
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: AL  TA.1771)
Enumeration Date2014-01-22
Last Update Date2014-01-22
Business Address
-- JOHN HARDISTY M.S., PA-C
1201 7TH ST SE
DECATUR, AL 35601-3337
Phone number: 256-341-3328
Mailing Address
-- JOHN HARDISTY M.S., PA-C
177 ROSS DR
MOUNTAIN BRK, AL 35213-2547
Phone number: 205-705-9178