Individual
DR. RICHARD DAVIS HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
423 S SOUTH ST, STE.101, MOUNT AIRY, NC 27030-4576
(336) 786-5144
(336) 786-5146
Mailing address
15 BRENTWOOD TRACE, CLYDE, NC 28721-8021
(828) 452-9700
(828) 452-3701
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
200301239
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89136C8
—
NC
Enumeration date
06/17/2005
Last updated
02/01/2018
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