Individual
MR. STEPHEN HARTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2576 PEACHTREE PKWY, SUITE 100, CUMMING, GA 30041
(770) 888-8777
(770) 888-8779
Mailing address
2576 PEACHTREE PKWY, SUITE 100, CUMMING, GA 30041
(770) 888-8777
(770) 888-8779
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
7350
GA
Other
Enumeration date
10/15/2014
Last updated
09/08/2015
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