Provider Demographics
NPI:1558543207
Name:ARTMAN MEDICAL SERVICES, PC
Entity Type:Organization
Organization Name:ARTMAN MEDICAL SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:R
Authorized Official - Last Name:ARTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:912-638-7688
Mailing Address - Street 1:115 MAIN ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ST SIMONS ISLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31522-0047
Mailing Address - Country:US
Mailing Address - Phone:912-638-7688
Mailing Address - Fax:912-638-6668
Practice Address - Street 1:115 MAIN ST
Practice Address - Street 2:SUITE 100
Practice Address - City:ST SIMONS ISLAND
Practice Address - State:GA
Practice Address - Zip Code:31522-0047
Practice Address - Country:US
Practice Address - Phone:912-638-7688
Practice Address - Fax:912-638-6668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-04
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA030945207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAD28819Medicare UPIN