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JASON B HURT NP-C
>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1356325112
Individual Registrant: JASON B HURT NP-C
Gender: M
Not Sole Proprietor
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: --
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
Tel: 706-621-7575 Fax: 706-621-7557
Registration Information:
NPI: 1356325112
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | GA | 134515 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 773812030 | GA | 05 |
