Individual
DR. RONALD DENNIS HARTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
131 HOSPITAL LN, JELLICO, TN 37762-4404
(423) 784-7269
(423) 784-3708
Mailing address
PO BOX 447, JELLICO, TN 37762-0447
(423) 784-7269
(423) 784-3708
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
21799
KY
207Q00000X
Family Medicine Physician
Primary
MD0000010924
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3378081
—
TN
05
—
64744097
—
KY
Enumeration date
09/14/2006
Last updated
07/08/2007
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