Individual
DR. WILLIAM BRYAN HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6301 ABERCORN ST, SAVANNAH, GA 31405-5701
(912) 352-8700
(912) 650-6805
Mailing address
6301 ABERCORN ST, SAVANNAH, GA 31405-5701
(912) 352-8700
(912) 650-6805
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
M0108
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
516025216A
—
GA
05
—
516025216B
—
GA
05
—
516025216C
—
GA
01
—
CC2047
MEDICARE
GA
01
—
P00412283
MEDICARE RAILROAD
GA
Enumeration date
03/31/2007
Last updated
06/12/2015
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