Individual
KEITH M HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 E GREENVILLE ST, STE 3000, ANDERSON, SC 29621
(864) 512-6760
(864) 224-3773
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 512-6760
(864) 224-3773
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12019
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000400265C
—
GA
05
—
120194
—
SC
05
—
GP5476
—
SC
Enumeration date
12/09/2005
Last updated
01/05/2023
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