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Zachary P Hart

Internal Medicine

Allopathic & Osteopathic Physicians

1500 Oglethorpe Ave Ste 200c, Athens, GA 30606-2165

PECOS Enrollment

This 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 B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 10:58 AM.

Profile Details

Provider ID
1346745882
Provider Type
Individual
Full Name
Hart, Zachary P
Title
Dr.
Credential
DO

Gender
Male
Sole Proprietor
Yes
Enumeration Date
3/27/2018
Last Updated
3/9/2025

Contact Information

Practice Location

1500 Oglethorpe Ave Ste 200c, Athens, GA 30606-2165

(706) 389-3875

Unlisted Fax

Mailing Location

1701 Veterans Dr Ofc, Florence, AL 35630-4928

(706) 201-5242

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License DO.2694 Alabama
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License 9904 Georgia

Zachary P Hart

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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