Individual
MR. ED N. HARTLEY
Active
Individual
MR. ED N. HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATP, CEAC
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
LVU404983
GA
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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