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NPI Code Detail

MEDICARE: MINDY M HART

MEDICARE: MINDY M HART
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist10597NC

General Provider Information

NPI Number : 1376816454
Entity Type Code : Individual
Provider Name (Legal Business Name) : MINDY M HART
Provider Business Mailing Address
First Line : 1736 PHILLIPS AVE
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-5269
Country : US
Telephone Number : 336-662-2452
Fax Number :
Provider Business Practice Location Address
First Line : 2012 N MAIN ST
Second Line :
City : HIGH POINT
State : NC
Zip : 27262-2134
Country : US
Telephone Number : 336-882-0039
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2012
Last Update Date : 02/20/2012

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Directions to “ MINDY M HART ” Practice Location

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