Charlie M Hardin Jr, CFNP/ACNP | |
110 Park Street, Walnut Grove, MS 39189 | |
(601) 253-0173 | |
(601) 253-0176 |
Full Name | Charlie M Hardin Jr |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 21 Years |
Location | 110 Park Street, Walnut Grove, Mississippi |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669450037 | NPI | - | NPPES |
03239875 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | R857156 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Medical Center-leake | Carthage, MS | Hospital |
Mississippi Baptist Medical Center | Jackson, MS | Hospital |
S E Lackey Memorial Hospital | Forest, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baptist Medical Center-leake, Inc. | 7214102961 | 14 |
Entity Name | Independent Healthcare Management Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306909734 PECOS PAC ID: 0840197232 Enrollment ID: O20031215000487 |
Entity Name | Baptist Medical Center-leake, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356626618 PECOS PAC ID: 7214102961 Enrollment ID: O20120112000444 |
Mailing Address | Practice Location Address |
---|---|
Charlie M Hardin Jr, CFNP/ACNP 965 Ridge Lake Blvd Ste 103, Memphis, TN 38120-9446 Ph: (901) 227-3255 | Charlie M Hardin Jr, CFNP/ACNP 110 Park Street, Walnut Grove, MS 39189 Ph: (601) 253-0173 |
Constance Wilkerson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Park St, Walnut Grove, MS 39189 Phone: 601-253-0173 Fax: 601-253-0176 |