Individual
MICHAEL HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 MAGNOLIA SQUARE CT, ABERDEEN, NC 28315-2225
(910) 638-5504
Mailing address
100 MAGNOLIA SQUARE CT, ABERDEEN, NC 28315-2225
(910) 638-5504
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
250260
NC
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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