Provider Demographics
NPI:1972491967
Name:HARTLEY, POLINA CHERKEZ (MSM, MMS, PA-C)
Entity type:Individual
Prefix:
First Name:POLINA
Middle Name:CHERKEZ
Last Name:HARTLEY
Suffix:
Gender:F
Credentials:MSM, MMS, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3977 54TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-7087
Mailing Address - Country:US
Mailing Address - Phone:828-308-7089
Mailing Address - Fax:
Practice Address - Street 1:11300 CRESTHILL DR STE 100
Practice Address - Street 2:
Practice Address - City:MINT HILL
Practice Address - State:NC
Practice Address - Zip Code:28227-7992
Practice Address - Country:US
Practice Address - Phone:980-302-3550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program