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NPI Code Detail

MEDICARE: JAMES S. HARTLEY

MEDICARE: JAMES S. HARTLEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician22206KY

General Provider Information

NPI Number : 1033157177
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES S. HARTLEY
Provider Business Mailing Address
First Line : 3211 SHANNON RD
Second Line : SUITE 300
City : DURHAM
State : NC
Zip : 27707-6322
Country : US
Telephone Number : 800-291-4020
Fax Number : 919-419-7247
Provider Business Practice Location Address
First Line : 850 RIVERVIEW RD
Second Line :
City : PINEVILLE
State : KY
Zip : 40977-1430
Country : US
Telephone Number : 800-291-4020
Fax Number : 919-419-7247
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 06/01/2010

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