Individual
DR. KIRBY LAMAR HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2431 W MAIN ST, STE 501, DOTHAN, AL 36301-1217
(334) 793-9222
(334) 671-0322
Mailing address
2431 W MAIN ST, STE 501, DOTHAN, AL 36301-1217
(334) 793-9222
(334) 671-0322
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
AL07069
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00010721
—
AL
05
—
00488617A
—
GA
05
—
046793600
—
FL
01
—
102I168271
PTAN
—
01
—
12233
COVENTRY HEALTH CARE
—
01
—
511-17846
BCBSAL LOCATION ID NUMBER
AL
01
—
7207217
CIGNA
—
01
—
7410413
UNITED HEALTHCARE
—
Enumeration date
12/16/2005
Last updated
06/04/2012
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