Individual
DR. RONALD L HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3685 BRASELTON HWY, SUITE 100, DACULA, GA 30019-5920
(678) 546-9800
(678) 344-8600
Mailing address
2878 FIVE FORKS TRICKUM RD, 2A, LAWRENCEVILLE, GA 30044-5896
(678) 344-8700
(678) 377-8600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
046115
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000841882AF
—
GA
05
—
000841882AI
—
GA
Enumeration date
06/24/2005
Last updated
04/09/2012
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