| Organization Name: | LARRY R. HART, M.D., L.L.C. |
| NPI Number: | 1790830578 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LARRY R. HART (OWNER) |
| Mailing Address: | 41 Chestnut St Elberton |
| State: | GA US |
| Postal Code: | 306351805 |
| Phone Number: | 7062831914 |
| Fax Number: | 7062831569 |
| NPI Enumeration Date: | 01/24/2007 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 023060 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |