Provider Demographics
NPI:1013892710
Name:HRDLICK, JOSHUA LEE (BCO)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:LEE
Last Name:HRDLICK
Suffix:
Gender:M
Credentials:BCO
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Mailing Address - Street 1:8426 MEDICAL PLAZA DR STE 500
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-9757
Mailing Address - Country:US
Mailing Address - Phone:704-510-9292
Mailing Address - Fax:704-510-9881
Practice Address - Street 1:8426 MEDICAL PLAZA DR STE 500
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-9757
Practice Address - Country:US
Practice Address - Phone:704-510-9292
Practice Address - Fax:704-510-9881
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1700XEye and Vision Services ProvidersTechnician/TechnologistOcularist