Individual
JOHN H BARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2331
(706) 721-7531
Mailing address
1120 15TH ST, BIW 6033- NEONATOLOGY, AUGUSTA, GA 30912-0004
(706) 721-2331
(706) 721-7531
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
047962
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G47962
—
SC
Enumeration date
08/30/2006
Last updated
07/09/2007
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