Kevin Bradley Hartman PA-C

NPI 1760683320 - Physician Assistant - 363A00000X

NPI Details
NPI 1760683320
Gender Male
Enumeration Date 05/30/2007
Last Updated 06/03/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
1035 SOUTHCREST DR
SUITE 100
STOCKBRIDGE GA, 30281-6118, US
Phone (770) 389-9005
Fax
Business Location
1035 SOUTHCREST DR
SUITE 100
STOCKBRIDGE GA, 30281-6118, US
Phone (770) 389-9005
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Florida
License Number PA-9104168
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According to our database, Kevin Bradley Hartman PA-C NPI is 1760683320, taxonomy code is 363A00000X and license number is PA-9104168, license state is located at Florida. Kevin Bradley Hartman PA-C physically located at 1035 Southcrest Dr, Stockbridge GA, 30281-6118. NPI Number Kevin Bradley Hartman PA-C has the Individual type.

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1760683320 NPI number is provided on an as is basis without warranty of any kind. 1760683320 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Bradley Hartman PA-C are for informational purposes only.