Hart, Keith M

Hart, Keith M is an individual health care provider with primary practice located at 2000 E Greenville St Ste 3000, Anderson SC 29621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Hart, Keith M can be contacted via phone (864) 512-6760.

Contact Information

Primary practice address
2000 E Greenville St Ste 3000 Anderson SC 29621
Phone: (864) 512-6760
Fax: (864) 224-3773
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 12019 South Carolina

Profile Details

NPI number 1629053822
LBN Legal business name Hart, Keith M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Jan 5th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629053822 NPPES
South Carolina MEDICAID GP5476
South Carolina MEDICAID 000400265C
South Carolina MEDICAID 120194

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