MEDICARE: DAVID BARTAL MS, AT-R, MSHS, PA-C

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
1	363A00000X	Physician Assistant	2022	TN

General Provider Information

NPI Number	:	1366529919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID BARTAL MS, AT-R, MSHS, PA-C

Provider Business Mailing Address
First Line	:	48 SUMMERFIELD TRL
Second Line	:
City	:	RINGGOLD
State	:	GA
Zip	:	30736-8976
Country	:	US
Telephone Number	:	989-400-2986
Fax Number	:

Provider Business Practice Location Address
First Line	:	4490 HIXSON PIKE
Second Line	:
City	:	HIXSON
State	:	TN
Zip	:	37343-5038
Country	:	US
Telephone Number	:	423-875-0700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	12/01/2025

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