Most Relevant Information
Provider Data
| NPI Number: | 1003571555 |
| Provider Name: | SUSANNE HARDIN LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | LPN049179 |
Most Important Dates
| Enumeration Date: | 11/01/2021 |
| Last Updated: | 11/01/2021 |
Provider Practice Location
218 STONEWALL ST
CARTERSVILLE
GA
301203628
Practice Location Phone/Fax
| Phone: | 7038611907 |
| Fax: | 7703867345 |
Provider Mailing Location
123 WOODCREST DR SW
CARTERSVILLE
GA
301207416
Provider Mailing Phone/Fax
| Phone: | 4703444765 |
| Fax: |