Individual
DAVID HART II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
117 ALFONZO JOHNSON RD, PAGELAND, SC 29728-7133
(843) 680-0438
Mailing address
117 ALFONZO JOHNSON RD, PAGELAND, SC 29728-7133
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/03/2014
Last updated
04/16/2018
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