Individual
MR. JAMISON LOUIS HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2041 MESA VALLEY WAY STE 100, AUSTELL, GA 30106-6828
(770) 944-1100
Mailing address
2041 MESA VALLEY WAY STE 100, AUSTELL, GA 30106-6828
(770) 944-1100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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