Individual
DR. SAMUEL IVAN BARTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(762) 408-2273
(762) 408-8103
Mailing address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(762) 408-2273
(762) 408-8103
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02005810A
IN
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
02005810A
IN
Other
Enumeration date
06/05/2018
Last updated
08/21/2025
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