Provider Demographics
NPI:1871916676
Name:HARDY, JOY (CNA)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:HARDY
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:633 DEER LAKE TRL
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30087-5494
Mailing Address - Country:US
Mailing Address - Phone:678-755-0834
Mailing Address - Fax:
Practice Address - Street 1:633 DEER LAKE TRL
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30087-5494
Practice Address - Country:US
Practice Address - Phone:678-755-0834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-29
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health