Individual
MRS. MARY L HARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1451 N GARDNER ST RM 201, SCOTTSBURG, IN 47170-7751
(812) 752-4662
(812) 752-4662
Mailing address
PO BOX 443, SCOTTSBURG, IN 47170-0443
(812) 752-4662
(812) 752-4662
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01037995
IN
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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