Provider Demographics
NPI:1851520050
Name:HARTLEY, JULIA STACY (DO)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:STACY
Last Name:HARTLEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BIRD LANE
Mailing Address - Street 2:
Mailing Address - City:CULLOWHEE
Mailing Address - State:NC
Mailing Address - Zip Code:28723
Mailing Address - Country:US
Mailing Address - Phone:828-227-7640
Mailing Address - Fax:828-227-7400
Practice Address - Street 1:1 BIRD LANE
Practice Address - Street 2:
Practice Address - City:CULLOWHEE
Practice Address - State:NC
Practice Address - Zip Code:28723
Practice Address - Country:US
Practice Address - Phone:828-227-7640
Practice Address - Fax:828-227-7400
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-08
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL1280207Q00000X
NC2001-01937207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine