Organization
AZALEA CITY HEARTS
Active
Other names
Thomas Hart
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS W HART NP (NP/OWNER)
(229) 560-0252
Entity
Organization
Contact information
Practice address
4510 MAHAN DR, HAHIRA, GA 31632-2616
(229) 560-0252
Mailing address
4510 MAHAN DR, HAHIRA, GA 31632-2616
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/16/2019
Last updated
12/12/2019
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