Individual
DR. DAVID A HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
135 GA HIGHWAY 27 E, AMERICUS, GA 31709-5520
(229) 928-2024
(229) 515-4667
Mailing address
135 GA HIGHWAY 27 E, AMERICUS, GA 31709-5520
(229) 928-2024
(229) 928-2921
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1240-T
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000467189E
—
GA
01
—
100906
AVESIS
GA
01
—
326810
WELLCARE
GA
Enumeration date
11/16/2006
Last updated
07/09/2020
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