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Individual

DR. JOHN THOMAS HARTLEY III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
930 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4312
(256) 539-4080
(256) 539-4099
Mailing address
930 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4312
(256) 539-4080
(256) 539-4099

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
10550
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0084896
BCBS
TN
01
060037260
RAILROAD MEDICARE
05
192874
AL
01
25-10123
UNITED HEALTHCARE
01
4003557
AETNA
01
510-49247
BCBS
AL
01
510-49248
BCBS
AL
01
510-49249
BCBS
AL
01
51033802
BCBS
AL
01
515-99678
BCBS
AL
01
515-99683
BCBS
AL
01
515-99684
BCBS
AL
01
P00770780
RAILROAD MEDICARE
AL
Enumeration date
01/27/2006
Last updated
05/08/2018
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