Daniel Hartley, | |
303 Harris Industrial Blvd Ste 5, Vidalia, GA 30474-8854 | |
(912) 535-7000 | |
Not Available |
Full Name | Daniel Hartley |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 303 Harris Industrial Blvd Ste 5, Vidalia, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275085508 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN216852 (Georgia) | Secondary |
363L00000X | Nurse Practitioner | RN216852 (Georgia) | Primary |
Entity Name | Georgia Emergency Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528098290 PECOS PAC ID: 1052216389 Enrollment ID: O20031201000427 |
Entity Name | Hospital Authority Of Candler County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588868947 PECOS PAC ID: 5294623948 Enrollment ID: O20040305000415 |
Entity Name | Montgomery Emergency Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861773764 PECOS PAC ID: 5395918387 Enrollment ID: O20111108000598 |
Entity Name | Statesboro Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013535657 PECOS PAC ID: 6507285095 Enrollment ID: O20201002000508 |
Mailing Address | Practice Location Address |
---|---|
Daniel Hartley, 9768 Saint Mathews Church Rd, Metter, GA 30439-7738 Ph: (912) 682-9600 | Daniel Hartley, 303 Harris Industrial Blvd Ste 5, Vidalia, GA 30474-8854 Ph: (912) 535-7000 |
Dana M Avist, APRN, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 Adams St, Vidalia, GA 30474 Phone: 912-537-1772 | |
Mrs. Kimberly Thigpen Evans, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 621 East First Street, Unit B, Vidalia, GA 30474 Phone: 478-274-8739 | |
Jessi Erica Woods, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 303 Harris Industrial Blvd Ste 3, Vidalia, GA 30474 Phone: 912-537-9355 | |
Mrs. Morgan Royal Comstock, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3193 E 1st St, Vidalia, GA 30474 Phone: 912-537-8588 | |
Santoria Shamika Felton, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 303 Harris Industrial Blvd Ste 3, Vidalia, GA 30474 Phone: 912-537-9355 | |
Christy L Hartley, CNM/ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1707 Meadows Ln Ste A, Vidalia, GA 30474 Phone: 912-537-1014 Fax: 912-538-0979 | |
Kimberly Rae Warren, MSN, APRN, AGPCNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2203 Ga Highway 130 W, Vidalia, GA 30474 Phone: 912-245-5491 |