Individual
DR. OLIVER JAMES HART JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
180 KIMEL PARK DR STE 110, WINSTON SALEM, NC 27103-6970
(336) 277-1717
Mailing address
2000 FRONTIS PLAZA BLVD STE 102, WINSTON SALEM, NC 27103-5616
(336) 277-2435
(336) 277-9275
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
11504
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40265
BCBS ID
NC
05
—
8940265
—
NC
01
—
P00439682
RAILROAD MEDICARE
NC
Enumeration date
04/08/2006
Last updated
04/02/2008
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