# KEITH M HART

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1629053822
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 12019 | SC | Yes |

## Other

- **Enumeration date:** 12/09/2005
- **Last updated:** 01/05/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000400265C | — | GA |
| 05 | — | 120194 | — | SC |
| 05 | — | GP5476 | — | SC |