Organization
TIMOTHY B. HART, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON S. HART (OFFICE MANAGER)
(919) 250-0580
Entity
Organization
Contact information
Practice address
123 SUNNYBROOK RD, SUITE 140, RALEIGH, NC 27610-2783
(919) 250-0580
(919) 250-9939
Mailing address
123 SUNNYBROOK RD, SUITE 140, RALEIGH, NC 27610-2783
(919) 250-0580
(919) 250-9939
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013NC
BCBS GROUP NUMBER
NC
05
—
89013NC
—
NC
01
—
D352
PARTNERS GROUP NUMBER
NC
Enumeration date
10/02/2006
Last updated
10/29/2009
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