Provider Demographics
NPI:1770837072
Name:BARTHELEMY, NIKKI (LMT)
Entity Type:Individual
Prefix:
First Name:NIKKI
Middle Name:
Last Name:BARTHELEMY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 S HAMPTON DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-3146
Mailing Address - Country:US
Mailing Address - Phone:803-429-7844
Mailing Address - Fax:
Practice Address - Street 1:14 S HAMPTON DR
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-3146
Practice Address - Country:US
Practice Address - Phone:803-429-7844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-08
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies