| Stephen Park Hardy, | |
|
200 Arthur Dr, Thomasville, NC 27360-6275 | |
| (336) 475-2348 | |
| Not Available |
| Full Name | Stephen Park Hardy |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 200 Arthur Dr, Thomasville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164490934 | NPI | - | NPPES |
| 8939433 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 9501269 (North Carolina) | Primary |
| Entity Name | Thomasville Archdale Pediatrics Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427018894 PECOS PAC ID: 5799814398 Enrollment ID: O20100519000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Park Hardy, 200 Arthur Dr, Thomasville, NC 27360-6275 Ph: (336) 475-2348 | Stephen Park Hardy, 200 Arthur Dr, Thomasville, NC 27360-6275 Ph: (336) 475-2348 |
Dr. David Robert Williams Jr., Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 200 Arthur Dr, Thomasville, NC 27360 Phone: 336-475-4596 Fax: 336-475-2100 | |
Dr. Frank Edward Reedy Jr., Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Arthur Dr, Thomasville, NC 27360 Phone: 336-475-4596 Fax: 336-475-2100 | |
Dr. Donald Bryant Winters, Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Arthur Dr, Thomasville, NC 27360 Phone: 336-475-2348 Fax: 336-475-2100 | |
Mrs. Theresa Cundari York, PNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 Arthur Dr, Thomasville, NC 27360 Phone: 336-475-2348 Fax: 336-475-2100 | |
Dr. Beatriz Juncadella, Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Arthur Dr, Thomasville, NC 27360 Phone: 336-475-2348 Fax: 336-475-2100 | |
Amanda Marie Rose, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Arthur Dr, Thomasville, NC 27360 Phone: 336-475-2348 Fax: 336-475-2100 |