Provider Demographics
NPI:1013949775
Name:HART, CHARLES MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:MICHAEL
Last Name:HART
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1670 CLAIRMONT RD
Mailing Address - Street 2:151-P
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-4004
Mailing Address - Country:US
Mailing Address - Phone:404-321-6111
Mailing Address - Fax:404-728-7750
Practice Address - Street 1:1670 CLAIRMONT RD
Practice Address - Street 2:151-P
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-4004
Practice Address - Country:US
Practice Address - Phone:404-321-6111
Practice Address - Fax:404-728-7750
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2022-05-13
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Provider Licenses
StateLicense IDTaxonomies
GA049648207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease