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Individual
TERRANCE LARRY HARTMANN
Active
Individual
TERRANCE LARRY HARTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
006710
GA
363A00000X
Physician Assistant
Primary
C06362
MD
363AM0700X
Medical Physician Assistant
006710
GA
363AM0700X
Medical Physician Assistant
C0006362
MD
Other
Enumeration date
01/28/2013
Last updated
01/25/2023
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