Grady Jonathan Hardeman, ATC, LAT, ATC

Athletic Trainer · Concord, NC

Individual Active NPI

NPI number 1124299698

Practice location

2338 Lomax Ct
Concord, NC 28025-9001
Phone
(704) 786-4321

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NPI record

NPI
1124299698
Entity type
Individual (Type 1)
Enumeration date
March 12, 2008
Last updated
March 12, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 1015 NC

About Grady Hardeman

Grady Jonathan Hardeman, ATC, LAT, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 2338 Lomax Ct, Concord, NC 28025-9001. The NPI number 1124299698 was assigned on March 12, 2008 and the record was last updated on March 12, 2008.

Grady Hardeman lists a license in the registry: #1015 (NC) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Grady Jonathan Hardeman, ATC, LAT, ATC?

The NPI number is 1124299698.

What is the phone number of Grady Hardeman?

The phone number listed for the practice location is (704) 786-4321.

Where is Grady Hardeman located?

2338 Lomax Ct, Concord, NC 28025-9001.

What is the taxonomy code for Grady Hardeman?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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