MEDICARE: JAMIE SCHULTIS MARTH MD

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
1	207V00000X	Obstetrics & Gynecology Physician	294034	NY
2	207V00000X	Obstetrics & Gynecology Physician	85410	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124447370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE SCHULTIS MARTH MD

Provider Business Mailing Address
First Line	:	880 ISLAND PARK DR UNIT 220
Second Line	:
City	:	DANIEL ISLAND
State	:	SC
Zip	:	29492-2902
Country	:	US
Telephone Number	:	843-936-5970
Fax Number	:	843-936-5971

Provider Business Practice Location Address
First Line	:	880 ISLAND PARK DR UNIT 220
Second Line	:
City	:	DANIEL ISLAND
State	:	SC
Zip	:	29492-2902
Country	:	US
Telephone Number	:	843-936-5970
Fax Number	:	843-936-5971

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2014
Last Update Date	:	03/22/2024

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Directions to “ JAMIE SCHULTIS MARTH MD” Practice Location

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