Individual
DR. CHARLES BRYCE HARTLEY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2045 PEACHTREE RD NE, SUITE T1, ATLANTA, GA 30309-1414
(770) 948-6041
(770) 739-5411
Mailing address
3820 MEDICAL PARK DR, AUSTELL, GA 30106-1110
(770) 948-5409
(770) 948-7994
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
028994
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00358916A
—
GA
Enumeration date
07/13/2005
Last updated
03/15/2018
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