Individual
ERICA LYN HARTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
064558
GA
207RN0300X
Nephrology Physician
200300045
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133V3
BCBS
—
05
—
2006272000
—
WV
05
—
5884420
—
VA
01
—
7824264
AETNA
—
01
—
802249
PARTNERS
—
05
—
89133V3
—
NC
01
—
C3082
MEDCOST
—
05
—
Q45003
—
SC
Enumeration date
12/08/2005
Last updated
07/08/2010
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