Individual
KEVIN BRADLEY HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1035 SOUTHCREST DR, SUITE 100, STOCKBRIDGE, GA 30281-6118
(770) 389-9005
Mailing address
1035 SOUTHCREST DR, SUITE 100, STOCKBRIDGE, GA 30281-6118
(770) 389-9005
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005235
GA
363A00000X
Physician Assistant
PA-9104168
FL
Other
Enumeration date
05/30/2007
Last updated
06/03/2010
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