Individual
MR. ED N. HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATP, CEAC
Contact information
Practice address
3723 ARREL DR, COLUMBUS, GA 31909-3715
(706) 322-0003
(706) 563-1344
Mailing address
3723 ARREL DR, COLUMBUS, GA 31909-3715
(706) 322-0003
(706) 563-1344
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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