Individual
DR. NICHOLAS D HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157-2826
(336) 716-1893
Mailing address
MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157-0001
(336) 716-1893
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
125055846
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125055846
IL TEMPORARY MEDICAL LICENSE, STATUS - ACTIVE
IL
01
—
2013-00310
NC MEDICAL LICENSE
NC
Enumeration date
06/29/2009
Last updated
03/31/2023
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