| Susan Hartley, MD | |
|
1610 Broadrick Dr, Dalton, GA 30720-3012 | |
| (706) 279-1994 | |
| (706) 279-9229 |
| Full Name | Susan Hartley |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1610 Broadrick Dr, Dalton, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033143953 | NPI | - | NPPES |
| 813405133D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 065257 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Hartley, MD 1610 Broadrick Dr, Dalton, GA 30720-3012 Ph: (706) 279-1994 | Susan Hartley, MD 1610 Broadrick Dr, Dalton, GA 30720-3012 Ph: (706) 279-1994 |
Cedric Bernard Windom Ii, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2918 E Walnut Ave, Dalton, GA 30721 Phone: 706-529-4600 Fax: 706-529-4633 | |
Mr. Ricardo Raul Riesco, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1933 Shields Road, Dalton, GA 30720 Phone: 706-278-6628 Fax: 706-278-6650 | |
Mr. Ayodeji C Makinde, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1575 Chattanooga Ave, Ste 1, Dalton, GA 30721 Phone: 706-876-2130 Fax: 706-876-2168 | |
Ayman M. Rifai, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1610 Broadrick Dr, Dalton, GA 30720 Phone: 706-279-1994 Fax: 706-279-9229 | |
Dr. Rose C Augustine, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1610 Broadrick Dr, Dalton, GA 30720 Phone: 706-279-1994 Fax: 706-279-9229 | |
Dr. Travis Rod Carroll, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 Memorial Dr, Dalton, GA 30720 Phone: 706-264-1897 |