Hartley, Cheryle Euleyne

Hartley, Cheryle Euleyne is an individual health care provider with primary practice located at 6600 Whittlesey Blvd Unit A , Columbus GA 31909-7334. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hartley, Cheryle Euleyne can be contacted via phone (706) 322-6646.

Contact Information

Primary practice address
6600 Whittlesey Blvd Unit A Columbus GA 31909-7334
Phone: (706) 322-6646
Fax: (706) 322-2891
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1033593 NCCPA Georgia

Profile Details

NPI number 1295726370
LBN Legal business name Hartley, Cheryle Euleyne
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2005
Last updated Mar 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295726370 NPPES
Georgia Other 97WCJXX MEDICARE PTAN
Georgia MEDICAID 948587397 MEDICARE PTAN
Georgia MEDICAID 009913320 MEDICARE PTAN

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