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Individual

DAVID C. HART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1331 MOUNT ZION RD, MORROW, GA 30260-2357
(770) 629-3217
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(770) 629-3217

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
040682
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00736711A
GA
Enumeration date
11/29/2005
Last updated
05/26/2021
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