Organization
PEDIATRIC ASSOCIATES OF ANDERSON, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH M HART M.D. (M.D.)
(864) 224-1055
Entity
Organization
Contact information
Practice address
2000 E GREENVILLE ST, SUITE 3000, ANDERSON, SC 29621-1580
(864) 224-1055
(864) 224-3773
Mailing address
2000 E GREENVILLE ST, SUITE 3000, ANDERSON, SC 29621-1580
(864) 224-1055
(864) 224-3773
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12019
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000400265C
GA.MEDICAID
GA
05
—
GP2927
—
SC
Enumeration date
03/28/2006
Last updated
08/16/2010
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