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JASON B HURT NP-C

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1356325112

Individual Registrant:
 JASON B HURT NP-C
Gender: M
Not Sole Proprietor

Location and contact information for practice:
7199 HIGHWAY 441 N SUITE 109  DILLARD, GA 30537-4134 US
Tel: 706-246-9700  Fax: --

Contact information for business:
PO BOX 529  ROYSTON, GA 30662-0529 US
Tel: 706-621-7575  Fax: 706-621-7557

Registration Information:
NPI: 1356325112
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
GA134515

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
773812030GA05




HEALTH CARE JOBS GA - Page 1



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