Individual ProviderZachary P HartInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1500 Oglethorpe Ave Ste 200c, Athens, GA 30606-2165(706) 389-3875(706) 201-5242PECOS EnrollmentThis provider is enrolled in PECOS as ZACHARY HART.Based on the most recent information from CMS, provider Zachary P Hart is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1346745882Provider TypeIndividualFull NameHart, Zachary PTitleDr.CredentialDOGenderMaleSole ProprietorYesEnumeration Date3/27/2018Last Updated9/15/2022Contact InformationPractice LocationPractice Address1500 Oglethorpe Ave Ste 200c, Athens, GA 30606-2165Phone(706) 389-3875FaxUnlisted FaxMailing LocationMailing Address1701 Veterans Dr Ofc, Florence, AL 35630-4928Phone(706) 201-5242FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseDO.2694AlabamaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicense9904Georgia