Individual
DR. RANDAL GARNETT HARTLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
726 S CHURCH ST, MURFREESBORO, TN 37130-4933
(615) 893-0228
Mailing address
715 POPLAR DR, MOUNT JULIET, TN 37122-4138
(865) 567-4990
(615) 893-0442
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD0000018862
TN
207VG0400X
Gynecology Physician
MD0000018862
TN
207VG0400X
Gynecology Physician
Primary
MD18862
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3034792
—
TN
01
—
MD0000018862
MEDICAL LICENSE
TN
Enumeration date
08/29/2006
Last updated
10/14/2024
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