Individual
MS. CHRISTINE HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
960 LEARNING WAY, TALLAHASSEE, FL 32306-4178
(850) 644-1802
(850) 644-4251
Mailing address
960 LEARNING WAY, TALLAHASSEE, FL 32306-4178
(850) 644-1802
(850) 644-4251
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME125892
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326151663
—
NV
01
—
P00915419
RAILROAD MEDICARE PIN
NV
01
—
V105470
MEDICARE REVALIDATION
NV
Enumeration date
08/17/2006
Last updated
02/28/2017
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