Provider Demographics
NPI:1871583427
Name:HARDMAN, JOSEPH T III (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:T
Last Name:HARDMAN
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2406 BELLEVUE RD
Mailing Address - Street 2:14 ERIN OFFICE PARK
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31021-2833
Mailing Address - Country:US
Mailing Address - Phone:478-272-5555
Mailing Address - Fax:478-272-5540
Practice Address - Street 1:2406 BELLEVUE RD
Practice Address - Street 2:14 ERIN OFFICE PARK
Practice Address - City:DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31021-2833
Practice Address - Country:US
Practice Address - Phone:478-272-5555
Practice Address - Fax:478-272-5540
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-25
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA047331208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000829683BMedicaid
GA25BBGBMMedicare PIN
GA000829683BMedicaid