Hart, Audra
Hart, Audra is an sole proprietor health care provider with primary practice located at 1111 Glynco Pkwy Ste 10 , Brunswick GA 31525-7930. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Hart, Audra can be contacted via phone (912) 264-9111.Contact Information
Primary practice address
1111 Glynco Pkwy Ste 10
Brunswick GA 31525-7930
Phone: (912) 264-9111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 11776 | Georgia |
Profile Details
| NPI number | 1013528728 |
|---|---|
| LBN Legal business name | Hart, Audra |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 14th, 2020 |
| Last updated | Dec 29th, 2023 - about 3 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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