Individual provider · Type 1 NPI

Mark Alan Hartley, MPAS PA-C

Medical Physician Assistant · Fort Benning, GA

NPI number 1124027685 Active

Practice location

7950 Martin Loop, Martin Army Community Hospital
Fort Benning, GA 31905-5647

Call (706) 545-8543 Map

Mailing address

1063 Lee Road 338
Salem, AL 36874-1219

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1033608 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1124027685

Mark Alan Hartley, MPAS PA-C's National Provider Identifier is 1124027685, issued on Jul 18, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Benning, GA. The record was last updated on Oct 26, 2011.