Individual
JANICE L HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
9820 N KINGS HWY, MYRTLE BEACH, SC 29572-4013
(843) 497-2273
(843) 215-2276
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442
(843) 527-7058
(843) 546-7601
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0229
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002295
—
SC
Enumeration date
08/11/2005
Last updated
01/31/2019
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