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Larry R. Hart, M.d., L.l.c.
General Practice Physician in Elberton, Georgia
NPI 1790830578

Larry R. Hart, M.d., L.l.c. is a General Practice Physician based in Elberton, GA. Larry R. Hart, M.d., L.l.c. practices in Elberton, GA. The NPI Number for Larry R. Hart, M.d., L.l.c. is 1790830578 and holds a License No. 023060 (Georgia).

The current practice location address for Larry R. Hart, M.d., L.l.c. is 41 Chestnut St, Elberton, GA and can be reached out via phone at 706-283-1914 and via fax at 706-283-1569.

Location: 41 Chestnut St, Elberton, GA, 30635-1805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790830578
Provider Name
Larry R. Hart, M.d., L.l.c.
Credential
Provider Entity Type
Organization
Address
41 Chestnut St, Elberton, GA, 30635-1805
Phone Number
706-283-1914
Fax Number
706-283-1569
Provider Enumeration Date
01/24/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
197506 01 GA BCBS PROVIDER NUMBER
GRP6319 01 GA MEDICARE GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
41 Chestnut St
City
Elberton
State
Georgia
Zip
30635-1805
Phone Number
706-283-1914
Fax Number
706-283-1569
person
Provider Business Mailing Address Details
Address
41 Chestnut St
City
Elberton
State
Georgia
Zip
30635-1805
Phone Number
706-283-1914
Fax Number
706-283-1569
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
023060 (Georgia)
Definition
Definition to come...
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