Hardman Pathology Adx, LLC

Primary specialty

Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X

License

029-027 Issued in GA

Legal business name

HARDMAN PATHOLOGY ADX, LLC

Practice address

110 Trinity PL
Athens, GA 30607-2118

Phone

(706) 546-4884

NPI assigned

Jul 29, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Martin Stefanelli

Title

Chief Operating Officer

Phone

(561) 626-5512

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1669637773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 TRINITY PL",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306072118",
            "telephone_number": "706-546-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 TRINITY PL",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306072118",
            "telephone_number": "706-546-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARDMAN PATHOLOGY ADX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "STEFANELLI",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "561-626-5512",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Dermatopathology",
            "state": "GA",
            "license": "029-027",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "029-027",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Timothy Hansford Sr., RPH
• Jessica Deanne Haralson, APRN, NP
• Benjamin Harbin, RN
• Brandon W Harden, MD
• Kimberly Harding, LPN
• William J. Hardman III, M.D.
• Wolanda Patrice Hardy, DDS
• Janice Harewood
• Christine Hargrove, LMFT
• Krupal Jay Hari, M.D.

• Dermatopathology (Pathology) Physician in Athens, GA
• Providers in Athens, GA by specialty
• Dermatopathology (Pathology) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.