Individual
ANNA B HART
Active
Individual
ANNA B HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
44650
TN
207RC0000X
Cardiovascular Disease Physician
44650
TN
207RI0200X
Infectious Disease Physician
Primary
TP773
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01294094
AMERIGROUP
—
05
—
1513994
—
TN
01
—
4231502
BCBS
TN
01
—
7100078970
KENTUCKY MEDICAID
KY
01
—
9795364
AETNA
—
01
—
P00742948
RR MEDICARE
—
Enumeration date
01/04/2007
Last updated
12/04/2020
Update your record
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