Individual
MARK HULSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3455 LEISURE LN, GAINESVILLE, GA 30506-3715
(770) 530-4355
Mailing address
PO BOX 1210, BLAIRSVILLE, GA 30514-1210
(770) 530-4355
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
10333
GA
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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