Provider Demographics
NPI:1982694998
Name:HARTMANN, JOHN EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:EDWARD
Last Name:HARTMANN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1499 WALTON WAY
Mailing Address - Street 2:SUITE 1400
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30901-2602
Mailing Address - Country:US
Mailing Address - Phone:706-721-5988
Mailing Address - Fax:706-721-7619
Practice Address - Street 1:1120 15TH ST
Practice Address - Street 2:DEPARTMENT OF NEUROLOGY
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30912-0004
Practice Address - Country:US
Practice Address - Phone:706-721-5988
Practice Address - Fax:706-721-7619
Is Sole Proprietor?:No
Enumeration Date:2005-10-21
Last Update Date:2011-05-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA0458202084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology