Dr Richard Davis Hart, DO | |
423 S South St, Ste.101, Mount Airy, NC 27030-4576 | |
(336) 786-5144 | |
(336) 786-5146 |
Full Name | Dr Richard Davis Hart |
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Gender | Male |
Speciality | Urology |
Location | 423 S South St, Mount Airy, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528063203 | NPI | - | NPPES |
89136C8 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 200301239 (North Carolina) | Primary |
Entity Name | Armc Physicians Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881938405 PECOS PAC ID: 4284623497 Enrollment ID: O20040511001278 |
Entity Name | Dlp Western Carolina Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609281641 PECOS PAC ID: 9032338975 Enrollment ID: O20140908002531 |
Mailing Address | Practice Location Address |
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Dr Richard Davis Hart, DO 15 Brentwood Trace, Clyde, NC 28721-8021 Ph: (828) 452-9700 | Dr Richard Davis Hart, DO 423 S South St, Ste.101, Mount Airy, NC 27030-4576 Ph: (336) 786-5144 |
Dr. George Leighton Lee Iii, M.D., FACS Urology Medicare: Accepting Medicare Assignments Practice Location: 423 S South St Ste 101, Mount Airy, NC 27030 Phone: 336-786-5144 | |
Dr. John Blevins Davis, M.D. Urology Medicare: Medicare Enrolled Practice Location: 423 S South St, Mount Airy, NC 27030 Phone: 336-786-5144 Fax: 336-786-5146 | |
Dr. Talluri Balaji, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 423 S South St, Ste 101, Mount Airy, NC 27030 Phone: 336-786-5144 Fax: 336-786-5146 | |
Dr. David Michael Werle, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 423 S South St, Suite 101, Mount Airy, NC 27030 Phone: 336-786-5144 Fax: 336-786-5146 |