MR. Jamison Louis Hartley, PA-C

NPI #1508377078 in Austell, Georgia

Provider Information

NPI Number: 1508377078
Entity Type: Individual
Name: MR. Jamison Louis Hartley, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 23, 2017
Last Updated: Oct 23, 2017

Practice Location

Address: 2041 MESA VALLEY WAY STE 100
City: Austell
State: Georgia
ZIP Code: 30106-6828
Phone: (770) 944-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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