Individual
MR. JAMES KEVIN HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
76 COUNTY ROAD, SUITE 3, WOODLAND, AL 36280
(256) 449-2001
Mailing address
119 AMBULANCE DRIVE, SUITE 202, CARROLLTON, GA 30117-3857
(770) 838-8710
(770) 838-8563
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003428
GA
363A00000X
Physician Assistant
Primary
PA.858
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001778A
—
GA
01
—
970028537
RAIL ROAD MEDICARE
FL
Enumeration date
12/11/2006
Last updated
05/16/2014
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