Provider Demographics
NPI:1326044504
Name:HART, ROBERT ERIC (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ERIC
Last Name:HART
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:221 13TH AVENUE PL NW
Mailing Address - Street 2:STE 202
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-2596
Mailing Address - Country:US
Mailing Address - Phone:828-322-8484
Mailing Address - Fax:828-324-9526
Practice Address - Street 1:221 13TH AVENUE PL NW
Practice Address - Street 2:STE 202
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-2596
Practice Address - Country:US
Practice Address - Phone:828-322-8484
Practice Address - Fax:828-324-9526
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-22
Last Update Date:2010-10-19
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Provider Licenses
StateLicense IDTaxonomies
NC39510207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8940200Medicaid
NC8940200Medicaid
NCE59578Medicare UPIN