Provider Demographics
NPI:1851538177
Name:GARTMAN, TRUMAN ADOLF III (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:MR
First Name:TRUMAN
Middle Name:ADOLF
Last Name:GARTMAN
Suffix:III
Gender:M
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:5085 MORGANTON RD
Mailing Address - Street 2:SUIT 100
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-1523
Mailing Address - Country:US
Mailing Address - Phone:910-864-0689
Mailing Address - Fax:910-864-3747
Practice Address - Street 1:2320 WILMA RUDOLPH BLVD
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-8960
Practice Address - Country:US
Practice Address - Phone:931-645-1564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-08
Last Update Date:2017-10-27
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Provider Licenses
StateLicense IDTaxonomies
NC0010-04528363A00000X
TN3304363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant