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NPI Code Detail

MEDICARE: ROBERT BARTLETT M.D.

MEDICARE:   ROBERT  BARTLETT  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianMMD.30046 LLSC

General Provider Information

NPI Number : 1205034188
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT BARTLETT M.D.
Provider Business Mailing Address
First Line : 125 DOUGHTY STREET
Second Line : SUITE 420
City : CHARLESTON
State : SC
Zip : 29403-5741
Country : US
Telephone Number : 843-723-3441
Fax Number : 843-805-4040
Provider Business Practice Location Address
First Line : 125 DOUGHTY STREET
Second Line : SUITE 420
City : CHARLESTON
State : SC
Zip : 29403-5741
Country : US
Telephone Number : 843-723-3441
Fax Number : 843-805-4040
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2007
Last Update Date : 06/07/2011

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