Individual
MR. MARK ALAN HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS PA-C
Contact information
Practice address
7950 MARTIN LOOP, MARTIN ARMY COMMUNITY HOSPITAL, FORT BENNING, GA 31905-5647
(706) 545-8543
Mailing address
1063 LEE ROAD 338, SALEM, AL 36874-1219
(706) 761-8293
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1033608
GA
Other
Enumeration date
07/18/2005
Last updated
10/26/2011
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