| Doctor Name: | MR. STEPHEN HARTLE |
| NPI Number: | 1013311307 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 7350 |
| Business Practice Address: | 2576 Peachtree Pkwy Suite 100 Cumming, GA - 30041 |
| Business Phone Number: | 7708888777 |
| Business Fax Number: | 7708888779 |
| Mailing Address: | 2576 Peachtree Pkwy, Suite 100 CUMMING |
| State: | GA |
| Postal Code: | 30041 |
| Phone Number: | 7708888777 |
| Fax Number: | 7708888779 |
| NPI Enumeration Date: | 10/15/2014 |
| NPI Last Update Date: | 09/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 7350 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |