Provider Demographics
NPI:1366529919
Name:BARTAL, DAVID (MS, ATC, MSHS, PA-C)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:BARTAL
Suffix:
Gender:M
Credentials:MS, ATC, MSHS, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 MILL SPGS
Mailing Address - Street 2:
Mailing Address - City:CHICKAMAUGA
Mailing Address - State:GA
Mailing Address - Zip Code:30707-2192
Mailing Address - Country:US
Mailing Address - Phone:989-400-2986
Mailing Address - Fax:
Practice Address - Street 1:4490 HIXSON PIKE
Practice Address - Street 2:
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-5038
Practice Address - Country:US
Practice Address - Phone:423-875-0700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10562255A2300X
TN2022363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer