Provider Demographics
NPI:1154321164
Name:HART, DARLINGTON I (MD)
Entity Type:Individual
Prefix:DR
First Name:DARLINGTON
Middle Name:I
Last Name:HART
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:DARLINGTON
Other - Middle Name:I
Other - Last Name:HART
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:7704 ENGLAND ST
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28273-5954
Mailing Address - Country:US
Mailing Address - Phone:704-551-0883
Mailing Address - Fax:704-551-4114
Practice Address - Street 1:7704 ENGLAND ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28273-5954
Practice Address - Country:US
Practice Address - Phone:704-551-0883
Practice Address - Fax:704-551-4114
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-01
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9800560207R00000X
SC19950207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89128TGMedicaid
NC89128TGMedicaid
NC2279667BMedicare ID - Type Unspecified