Organization
METROLINA NEPHROLOGY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE M. HART MD (PRESIDENT/PHYSICIAN)
(704) 332-0396
Entity
Organization
Contact information
Practice address
3158 FREEDOM DRIVE, STE 3101, CHARLOTTE, NC 28208
(704) 348-2992
(704) 334-3061
Mailing address
3158 FREEDOM DRIVE, STE 3102, CHARLOTTE, NC 28208-3106
(704) 332-0396
(704) 971-0035
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
39934 REGISTRATION #
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7902155
—
NC
05
—
N02155
—
SC
Enumeration date
05/11/2006
Last updated
06/20/2022
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